Javier Alvidrez, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATR-001178 Issued in AZ

Practice address

160 E Athletics Way
Mesa, AZ 85201-5068

Phone

(480) 387-5800

NPI assigned

Jan 7, 2025

Sex

Male

Sole proprietor

No

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, last updated by the provider on Jan 7, 2025.

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1144039744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9642 W DONALD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834185",
            "telephone_number": "813-523-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ATHLETICS WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015068",
            "telephone_number": "480-387-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVIDREZ",
        "first_name": "JAVIER",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-001178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rodrigo A Alvarez, DO
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• All providers in Mesa, AZ
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.