Individual provider Active NPI

Bethany Suzanne Cuatt, ATC

  • Athletic Trainer
  • Jackson, MI
National Provider Identifier
1316482839
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2601001161 Issued in MI
Practice address
206 Page Ave
Jackson, MI 49201-2418
Phone
(517) 740-3496
Fax
(517) 841-8282
NPI assigned
Dec 20, 2016
Last updated
Dec 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 2601001161 MI Primary

Addresses

Primary practice location

206 Page Ave
Jackson, MI 49201-2418

Mailing address

302 Church St
Parma, MI 49269
Phone (517) 740-3496

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
2601001161MIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Rehab Specialists, PC PastSince Aug 5, 2007 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1316482839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CHURCH ST",
            "city": "PARMA",
            "state": "MI",
            "postal_code": "49269",
            "telephone_number": "517-740-3496",
            "fax_number": "517-841-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012418",
            "telephone_number": "517-740-3496",
            "fax_number": "517-841-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUATT",
        "first_name": "BETHANY",
        "middle_name": "SUZANNE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.