Active NPI
Dylan John Goodsell, M.S., L.A.T., A.T.C.
- Athletic Trainer
- Turbotville, PA
National Provider Identifier
1225537822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT006215
- Practice address
- 4800 Susquehanna TRL
Turbotville, PA 17772-8679 - Phone
- (570) 560-3539
- NPI assigned
- Feb 8, 2018
- 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 | RT006215 | PA | Primary |
Addresses
Primary practice location
4800 Susquehanna TRL
Turbotville, PA 17772-8679
Mailing address
4800 Susquehanna TRL
Turbotville, PA 17772-8679
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT006215 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1225537822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SUSQUEHANNA TRL",
"city": "TURBOTVILLE",
"state": "PA",
"postal_code": "177728679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SUSQUEHANNA TRL",
"city": "TURBOTVILLE",
"state": "PA",
"postal_code": "177728679",
"telephone_number": "570-560-3539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSELL",
"first_name": "DYLAN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "M.S., L.A.T., A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT006215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turbotville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.