Active NPI
John G Henline, ATC
- Athletic Trainer
- Perrysburg, OH
National Provider Identifier
1245361765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 910
- Practice address
- 13385 Roachton Rd
Perrysburg, OH 43551-1363 - Phone
- (419) 872-8689
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 8, 2007
- 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 | 910 | OH | Primary |
Addresses
Primary practice location
13385 Roachton Rd
Perrysburg, OH 43551-1363
Mailing address
10983 Eckel Junction Rd
Perrysburg, OH 43551-9449
Phone (419) 874-3181
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 |
|---|---|---|---|
| 910 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245361765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10983 ECKEL JUNCTION RD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435519449",
"telephone_number": "419-874-3181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13385 ROACHTON RD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511363",
"telephone_number": "419-872-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLINE",
"first_name": "JOHN",
"middle_name": "G",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysburg, OH
- Heartland of Perrysburg Oh, LLC (ProMedica Skilled Nursing and Rehabilitation (Perrysburg))
- Heel and Toe Podiatry LLC
- Brittany Hehr, RPH, PHARMD
- Carolyn Jean Heidelberg
- Todd A Helfman, DO
- Denise Marie Hennan
- Erin Marie Hennessey, APRN
- Kelly Hennig, APRN, FNP-C
- Henry B Green Jr DPM Inc
- Stephanie Henry-Buhk, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.