Rod Joseph

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001622-1 Issued in NY

Practice address

285 Forest Grove Dr Ste 207
Pewaukee, WI 53072-3738

Phone

(877) 732-2262

NPI assigned

Dec 2, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275930505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 207",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723738",
            "telephone_number": "877-732-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 207",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723738",
            "telephone_number": "877-732-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 E 39th St",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160112",
            "country_code": "US",
            "telephone_number": "212-584-2610",
            "fax_number": "212-584-2612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ROD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001622-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Joerres
• Beth A Johnson, PSY.D.
• Grant Logan Johnson, DC
• Paul Ronald Johnson, M.D.
• Joints in Motion Medical, LLC
• Theresa Gloria Kaczmarek, RN
• Mary Frances Leona Kafura, LPC
• Erin Marie Kamin, COTA
• Korey Benjamin Kasper, M.D.
• Ruth Katula

• Athletic Trainer in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.