Active NPI
Adam Horseman, ATC
- Athletic Trainer
- Dayton, OH
National Provider Identifier
1144512799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT- 2687
- Practice address
- 3640 Col. Glenn Hwy.
Room 356 Nutter Center
Dayton, OH 45435 - Phone
- (937) 775-4094
- Fax
- (937) 775-2841
- NPI assigned
- May 13, 2011
- 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 | AT- 2687 | OH | Primary |
Addresses
Primary practice location
3640 Col. Glenn Hwy.
Room 356 Nutter Center
Dayton, OH 45435
Mailing address
3640 Col. Glenn Hwy.
Room 356 Nutter Center
Dayton, OH 45435
Phone (937) 775-4094
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 |
|---|---|---|---|
| AT- 2687 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305244800000",
"number": "1144512799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 COL. GLENN HWY.",
"address_2": "ROOM 356 NUTTER CENTER",
"city": "DAYTON",
"state": "OH",
"postal_code": "45435",
"telephone_number": "937-775-4094",
"fax_number": "937-775-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 COL. GLENN HWY.",
"address_2": "ROOM 356 NUTTER CENTER",
"city": "DAYTON",
"state": "OH",
"postal_code": "45435",
"telephone_number": "937-775-4094",
"fax_number": "937-775-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSEMAN",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-13",
"last_updated": "2011-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT- 2687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.