Active NPI
Emmanuel Economos, AT
- Athletic Trainer
- North Royalton, OH
National Provider Identifier
1316367378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 8154 Elaine Dr
North Royalton, OH 44133-2252 - Phone
- (440) 582-0546
- NPI assigned
- Apr 17, 2014
- 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
8154 Elaine Dr
North Royalton, OH 44133-2252
Mailing address
8154 Elaine Dr
North Royalton, OH 44133-2252
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": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1316367378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8154 ELAINE DR",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441332252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8154 ELAINE DR",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441332252",
"telephone_number": "440-582-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECONOMOS",
"first_name": "EMMANUEL",
"credential": "AT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-17",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Royalton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.