Individual provider Active NPI

Anthony Michael Rossi, ATC, CSCS, NREMT

  • Athletic Trainer
  • Adrian, MI
National Provider Identifier
1174907497
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2601001512 Issued in MI
Practice address
110 S Madison St
Adrian, MI 49221-2518
Phone
(517) 264-3969
Fax
(517) 264-3869
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 3203057349 MI
Athletic Trainer 2255A2300X 2601001512 MI Primary

Addresses

Primary practice location

110 S Madison St
Adrian, MI 49221-2518

Mailing address

160 Sand Creek Hwy
Apartment H
Adrian, MI 49221-9175
Phone (248) 343-0678

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
3203057349MIMDBasic Emergency Medical Technician
2601001512MIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1174907497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SAND CREEK HWY",
            "address_2": "APARTMENT H",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219175",
            "telephone_number": "248-343-0678",
            "fax_number": "517-264-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MADISON ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212518",
            "telephone_number": "517-264-3969",
            "fax_number": "517-264-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "ATC, CSCS, NREMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "3203057349",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.