Jacob Wright, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9180 E Via de Ventura
Scottsdale, AZ 85258-3596

Phone

(480) 646-8200

NPI assigned

Dec 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1134766306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129B E ANGELA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 E VIA DE VENTURA",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583596",
            "telephone_number": "480-646-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9219 E Hidden Spur Trl",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852556326",
            "country_code": "US",
            "telephone_number": "480-585-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JACOB",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Wray, M.D.
• Wren Physical Therapy LLC
• Diane Linda Wren, FNP-BC
• Wright Touch, LLC (Elements Massage)
• Benjamin Lewis Wright, M.D.
• Jennifer L Wright, PT
• Kaitlin Price Wright, FNP
• Karen Leigh Wright, PHARM.D.
• Katherine Dorothy Wright, PT, DPT
• Kelly Michele Wright, PHYSICIAN ASSISTANT

• Athletic Trainer in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.