Active NPI
Ryan Kesterholt, ATC
- Athletic Trainer
- Murrysville, PA
National Provider Identifier
1144764788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT003802
- Practice address
- 4115 William Penn Hwy
One Franklin Centre
Murrysville, PA 15668 - Phone
- (724) 327-7099
- NPI assigned
- Dec 16, 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 | RT003802 | PA | Primary |
Addresses
Primary practice location
4115 William Penn Hwy
One Franklin Centre
Murrysville, PA 15668
Mailing address
4115 William Penn Hwy
One Franklin Centre,
Murrysville, PA 15668
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 |
|---|---|---|---|
| RT003802 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1144764788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 WILLIAM PENN HWY",
"address_2": "ONE FRANKLIN CENTRE,",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "15668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 WILLIAM PENN HWY",
"address_2": "ONE FRANKLIN CENTRE",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "15668",
"telephone_number": "724-327-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTERHOLT",
"first_name": "RYAN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-16",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT003802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.