Active NPI
Joshua Masner, LAT, ATC
- Athletic Trainer
- Coatesville, IN
National Provider Identifier
1104461573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATR-009239
- Practice address
- 7149 S Putnam County Rd
Coatesville, IN 46121-9065 - Phone
- (317) 437-4732
- NPI assigned
- Nov 8, 2019
- Last updated
- Aug 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATR-009239 | AZ | Primary |
Addresses
Primary practice location
7149 S Putnam County Rd
Coatesville, IN 46121-9065
Mailing address
1651 S Dobson Rd Apt 255
Mesa, AZ 85202-5639
Phone (317) 437-4732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATR-009239 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1104461573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 S DOBSON RD APT 255",
"city": "MESA",
"state": "AZ",
"postal_code": "852025639",
"telephone_number": "317-437-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7149 S PUTNAM COUNTY RD",
"city": "COATESVILLE",
"state": "IN",
"postal_code": "461219065",
"telephone_number": "317-437-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASNER",
"first_name": "JOSHUA",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-08",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "ATR-009239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coatesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.