Active NPI
Charles Bobby Partin, ATC, LAT, ITAT
- Athletic Trainer
- Pineville, KY
National Provider Identifier
1225543531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1177
- Practice address
- 103 S Pine St
Pineville, KY 40977-1610 - Phone
- (606) 254-2075
- NPI assigned
- Dec 8, 2017
- 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 | AT1177 | KY | Primary |
Addresses
Primary practice location
103 S Pine St
Pineville, KY 40977-1610
Mailing address
98 Turkey Creek Rd
Pineville, KY 40977-7894
Phone (606) 670-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT117 | Other | KY | KENTUCKY BOARD OF MEDICAL LICENSURE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT1177 | KY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512691200000",
"number": "1225543531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 TURKEY CREEK RD",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "409777894",
"telephone_number": "606-670-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S PINE ST",
"city": "PINEVILLE",
"state": "KY",
"postal_code": "409771610",
"telephone_number": "606-254-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTIN",
"first_name": "CHARLES",
"middle_name": "BOBBY",
"credential": "ATC, LAT, ITAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-08",
"last_updated": "2017-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT1177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF MEDICAL LICENSURE",
"identifier": "AT117",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pineville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.