Joshuel Irizarry
Individual provider Active NPI Athletic Trainer · Effort, PA
NPI 1124456843 · NPPES record last updated Oct 15, 2013
Key facts
- NPI
- 1124456843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT005389 (PA)
- Practice address
- 2181 Village Rd
Effort, PA 18330-7750 - Phone
- (787) 981-7041
- NPI assigned
- Oct 15, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005389 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005389 | PA | Yes |
Addresses
Primary practice location
2181 Village Rd
Effort, PA 18330-7750
Mailing address
2181 Village Rd
Effort, PA 18330-7750
Phone (787) 981-7041
Other providers in Effort, PA
- Joelle Grossman
- Jillian Hansen
- Arlene T Hartsell
- Kelsey Hranchock
- Sandra Leigh Hughes-Green
- Jrfayash, Inc
- Amy Elisabeth Kingsley Andujar
- Amy B Kromer
- Lehigh Valley Health Network Emergency Medical Services
- Anne E Leis
All providers in Effort, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.