Active NPI
David Ray Manuel, ATC/LAT
- Athletic Trainer
- Phoenix, AZ
National Provider Identifier
1346974722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATTL-000325
- Practice address
- 2425 N 26TH St
Phoenix, AZ 85008-1905 - Phone
- (602) 265-4707
- NPI assigned
- Jul 12, 2022
- Sex
- Male
- Sole proprietor
- No
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 | ATTL-000325 | AZ | Primary |
Addresses
Primary practice location
2425 N 26TH St
Phoenix, AZ 85008-1905
Mailing address
942 N John Way
Chandler, AZ 85225-9026
Phone (480) 244-0826
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
| License | State | Type | Specialty |
|---|---|---|---|
| ATTL-000325 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1346974722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 N JOHN WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852259026",
"telephone_number": "480-244-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 N 26TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850081905",
"telephone_number": "602-265-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "DAVID",
"middle_name": "RAY",
"credential": "ATC/LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "ATTL-000325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.