Professional Sports Medicine & Athletic Training Consultant Services,

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

PROFESSIONAL SPORTS MEDICINE & ATHLETIC TRAINING CONSULTANT SERVICES,

Practice address

5321 Bentgrass Dr
Raleigh, NC 27610-2136

Phone

(919) 291-5917

NPI assigned

Jan 17, 2014

Last updated

Jan 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M. Mills

Title

Director of Sports Medicine

Phone

(919) 291-5917

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1316369846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 BENTGRASS DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-291-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 BENTGRASS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102136",
            "telephone_number": "919-291-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPORTS MEDICINE & ATHLETIC TRAINING CONSULTANT SERVICES,",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF SPORTS MEDICINE",
        "authorized_official_telephone_number": "919-291-5917"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Progress Physical Therapy
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• Progress Weight Loss, PC (Progress Weight Loss Surgery)
• Progressive Healthcare & Counseling Services Inc.
• Progressive Healthcare & Counseling Services Inc. (Progressive Home Health)

• Athletic Trainer in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Athletic Trainer in North Carolina

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

Verify at the official NPI Registry.