Active NPI
Nathan Orth, ATC
- Athletic Trainer
- Lexington, SC
National Provider Identifier
1306409834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 104 Saluda Pointe Dr
Lexington, SC 29072-7295 - Phone
- (803) 296-9209
- NPI assigned
- Apr 19, 2019
- 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 | Primary |
Addresses
Primary practice location
104 Saluda Pointe Dr
Lexington, SC 29072-7295
Mailing address
1013 E Cedar Ridge Rd
Sandy, UT 84094-5608
Phone (801) 599-1065
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000036044 | Other | CERTIFIED ATHLETIC TRAINER | |
| AT2630 | Other | SC | DHEC |
| 175505958151 | Other | UT | BLS PROVIDER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1306409834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 E CEDAR RIDGE RD",
"city": "SANDY",
"state": "UT",
"postal_code": "840945608",
"telephone_number": "801-599-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SALUDA POINTE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727295",
"telephone_number": "803-296-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTH",
"first_name": "NATHAN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-19",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ATHLETIC TRAINER",
"identifier": "2000036044",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHEC",
"identifier": "AT2630",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLS PROVIDER",
"identifier": "175505958151",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.