Richard Bertie, M.S., LAT, ATC, PES
Individual provider Active NPI Athletic Trainer · Loretto, PA
NPI 1245646504 · NPPES record last updated Jul 8, 2014
Key facts
- NPI
- 1245646504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT005723 (PA)
- Practice address
- 117 Evergreen Dr
Stokes Athletic Center, Saint Francis University
Loretto, PA 15940-9704 - Phone
- (570) 951-9952
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005723 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005723 | PA | Yes |
Addresses
Primary practice location
117 Evergreen Dr
Stokes Athletic Center, Saint Francis University
Loretto, PA 15940-9704
Mailing address
PO Box 169
188 Mahanoy St.
Nuremberg, PA 18241-0169
Phone (570) 951-9952
Other providers in Loretto, PA
- Brooke Alexander
- Andrea Bean
- Michelle Isabella Binder
- Sharon M Biter
- Mark Andrew Boland
- Margaret Holter Calvert
- Allison Camillo
All providers in Loretto, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.