Individual provider Active NPI

Tiffany Rathwell, ATC

  • Athletic Trainer
  • Bedford Heights, OH
National Provider Identifier
1316360217
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT.004909 Issued in OH
Practice address
24932 Aurora Rd Ste C
Bedford Heights, OH 44146-1790
Phone
(440) 439-9440
Fax
(440) 439-1808
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT.004909 OH Primary

Addresses

Primary practice location

24932 Aurora Rd Ste C
Bedford Heights, OH 44146-1790

Mailing address

24932 Aurora Rd Ste C
Bedford Heights, OH 44146-1790
Phone (440) 439-9440

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

LicenseStateTypeSpecialty
AT.004909OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
All Health Chiropractic Wellness Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1316360217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24932 AURORA RD STE C",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461790",
            "telephone_number": "440-439-9440",
            "fax_number": "440-439-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24932 AURORA RD STE C",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461790",
            "telephone_number": "440-439-9440",
            "fax_number": "440-439-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHWELL",
        "first_name": "TIFFANY",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.004909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.