Individual provider Active NPI

Richard A Trainor, MS LAT ATC

  • Athletic Trainer
  • Brick, NJ
National Provider Identifier
1144986944
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
25MT00294100 Issued in NJ
Practice address
161 Jordan Rd
Brick, NJ 08724-3959
Phone
(732) 600-2809
NPI assigned
Nov 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X 25MT00294100 NJ Primary

Addresses

Primary practice location

161 Jordan Rd
Brick, NJ 08724-3959

Mailing address

161 Jordan Rd
Brick, NJ 08724-3959
Phone (732) 600-2809

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
25MT00294100NJMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1144986944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 JORDAN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243959",
            "telephone_number": "732-600-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JORDAN RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243959",
            "telephone_number": "732-600-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINOR",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MS LAT ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00294100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.