Individual provider Active NPI

Cathleen Byrnes, MS, LAT, ATC

  • Athletic Trainer
  • Philadelphia, PA
National Provider Identifier
1326561655
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT005689 Issued in PA
Practice address
4201 Henry Ave
Philadelphia, PA 19144-5409
Phone
(215) 913-5318
NPI assigned
Jul 19, 2017
Last updated
Jul 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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 RT005689 PA Primary

Addresses

Primary practice location

4201 Henry Ave
Philadelphia, PA 19144-5409

Mailing address

105 Waverly Rd
Wyncote, PA 19095-1210
Phone (215) 913-5318

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RT005689PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1326561655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WAVERLY RD",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951210",
            "telephone_number": "215-913-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 HENRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191445409",
            "telephone_number": "215-913-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "CATHLEEN",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.