Active NPI
Sean Thomas, ATC
- Athletic Trainer
- Durham, NC
National Provider Identifier
1235665779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0450
- Practice address
- 1801 Fayetteville St
Box 19705
Durham, NC 27707-3129 - Phone
- (919) 530-6215
- Fax
- (919) 530-7799
- NPI assigned
- May 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 0450 | NC | Primary |
Addresses
Primary practice location
1801 Fayetteville St
Box 19705
Durham, NC 27707-3129
Mailing address
1801 Fayetteville St
PO Box 19705
Durham, NC 27707-3129
Phone (919) 530-6215
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 |
|---|---|---|---|
| 0450 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1235665779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 FAYETTEVILLE ST",
"address_2": "PO BOX 19705",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073129",
"telephone_number": "919-530-6215",
"fax_number": "919-530-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 FAYETTEVILLE ST",
"address_2": "BOX 19705",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073129",
"telephone_number": "919-530-6215",
"fax_number": "919-530-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SEAN",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "0450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.