Active NPI
John Vipperman, ATC
- Athletic Trainer
- Olney, MD
National Provider Identifier
1134570898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 18109 Prince Philip Dr
Olney, MD 20832 - Phone
- (301) 774-8882
- NPI assigned
- Jun 23, 2016
- 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 | Primary |
Addresses
Primary practice location
18109 Prince Philip Dr
Olney, MD 20832
Mailing address
15030 Kenwood CT
Woodbine, MD 21797-8300
Other practice location 1
406 Sioux Dr
Mechanicsburg, PA 17050-2567
Phone (717) 975-9739
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": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1134570898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15030 KENWOOD CT",
"city": "WOODBINE",
"state": "MD",
"postal_code": "217978300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18109 PRINCE PHILIP DR",
"city": "OLNEY",
"state": "MD",
"postal_code": "20832",
"telephone_number": "301-774-8882"
}
],
"practiceLocations": [
{
"address_1": "406 Sioux Dr",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170502567",
"country_code": "US",
"telephone_number": "717-975-9739",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIPPERMAN",
"first_name": "JOHN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-23",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.