Jason Robert Rademacher, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00145500 Issued in NJ

Practice address

112 Broad Street
Red Bank, NJ 07701

Phone

(732) 747-1211

Fax

(732) 747-6744

NPI assigned

Dec 28, 2006

Last updated

Sep 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1114083854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ROZLYN CT",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077249616",
            "telephone_number": "908-902-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BROAD STREET",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-747-1211",
            "fax_number": "732-747-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEMACHER",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1043",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00145500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Francis Rada, D.D.S
• Richard A Rafferty
• Hollie M Ralph-McCarthy, PT, DPT
• Karthia J. Ramachandran, MD
• Mary Ellen Ramsay, LCSW, LCADC, CCS
• Kate Randazzo, LSW

• Athletic Trainer in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.