Active NPI
John Schultheiss, M.ED, ATC
- Athletic Trainer
- Morgantown, WV
National Provider Identifier
1154700193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001352
- Practice address
- 1 Waterfront PL
Morgantown, WV 26501-5978 - Phone
- (304) 293-9542
- Fax
- (304) 293-6902
- NPI assigned
- May 22, 2015
- 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 | AT001352 | WV | Primary |
Addresses
Primary practice location
1 Waterfront PL
Morgantown, WV 26501-5978
Mailing address
PO Box 877
Milan Puskar Stadium One Rodgers Drive
Morgantown, WV 26507-0877
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001352 | WV | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1154700193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 877",
"address_2": "MILAN PUSKAR STADIUM ONE RODGERS DRIVE",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265070877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WATERFRONT PL",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265015978",
"telephone_number": "304-293-9542",
"fax_number": "304-293-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTHEISS",
"first_name": "JOHN",
"credential": "M.ED, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WV",
"license": "AT001352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.