Individual provider Active NPI

Parker Raham

  • Athletic Trainer
  • Annville, PA
National Provider Identifier
1104752997
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
1 E Sheridan Ave
Annville, PA 17003-1417
Phone
(717) 867-6208
NPI assigned
Jun 20, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X PA Primary

Addresses

Primary practice location

1 E Sheridan Ave
Annville, PA 17003-1417

Mailing address

1 E Sheridan Ave
Annville, PA 17003-1417
Phone (717) 867-6208

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1104752997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E SHERIDAN AVE",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031417",
            "telephone_number": "717-867-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E SHERIDAN AVE",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031417",
            "telephone_number": "717-867-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAM",
        "first_name": "PARKER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.