Active NPI
Zachary Naelitz
- Athletic Trainer
- Columbia, MD
National Provider Identifier
1356896559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 5435 Beaverkill Rd
Columbia, MD 21044-2359 - Phone
- (410) 740-0883
- Fax
- (410) 740-9970
- NPI assigned
- Aug 18, 2016
- Last updated
- Aug 18, 2016
- 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 | NU | Primary |
Addresses
Primary practice location
5435 Beaverkill Rd
Columbia, MD 21044-2359
Mailing address
294 Bloomsbury Ave
Apt B2
Catonsville, MD 21228-5229
Phone (770) 313-2671
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": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1356896559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 BLOOMSBURY AVE",
"address_2": "APT B2",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212285229",
"telephone_number": "770-313-2671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5435 BEAVERKILL RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210442359",
"telephone_number": "410-740-0883",
"fax_number": "410-740-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAELITZ",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.