Individual provider Active NPI

Ryan Christian Weible, AT

  • Athletic Trainer
  • Springfield, OH
National Provider Identifier
1164709226
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3218 Issued in OH
Practice address
854D Stone Crossing LN
Springfield, OH 45503-5061
Phone
(614) 506-2743
NPI assigned
Nov 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 3218 OH Primary

Addresses

Primary practice location

854D Stone Crossing LN
Springfield, OH 45503-5061

Mailing address

854D Stone Crossing LN
Springfield, OH 45503-5061
Phone (614) 506-2743

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

LicenseStateTypeSpecialty
3218OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1164709226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854D STONE CROSSING LN",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455035061",
            "telephone_number": "614-506-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854D STONE CROSSING LN",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455035061",
            "telephone_number": "614-506-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIBLE",
        "first_name": "RYAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "3218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.