Active NPI
Jonathan Freeman
- Athletic Trainer
- Pickerington, OH
National Provider Identifier
1124416862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003921
- Practice address
- 392 Rambling Brook Dr
Pickerington, OH 43147-2200 - Phone
- (513) 315-7296
- NPI assigned
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 003921 | OH | Primary |
Addresses
Primary practice location
392 Rambling Brook Dr
Pickerington, OH 43147-2200
Mailing address
392 Rambling Brook Dr
Pickerington, OH 43147-2200
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 |
|---|---|---|---|
| 003921 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1124416862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 RAMBLING BROOK DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431472200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 RAMBLING BROOK DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431472200",
"telephone_number": "513-315-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "003921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pickerington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.