Individual provider Active NPI

Nathanael Robert Seymour, ATC, CSCS

  • Athletic Trainer
  • Dayton, OH
National Provider Identifier
1366460313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-1681 Issued in OH
Practice address
300 College Park
University of Dayton
Dayton, OH 45469-1220
Phone
(937) 229-4437
Fax
(937) 229-5448
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AT-1681 OH Primary

Addresses

Primary practice location

300 College Park
University of Dayton
Dayton, OH 45469-1220

Mailing address

6083 Singletree Lane
Centerville, OH 45459-2423
Phone (937) 438-5307

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
AT-1681OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University of Dayton PastSince Sep 15, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366460313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6083 SINGLETREE LANE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592423",
            "telephone_number": "937-438-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLLEGE PARK",
            "address_2": "UNIVERSITY OF DAYTON",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454691220",
            "telephone_number": "937-229-4437",
            "fax_number": "937-229-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "NATHANAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT-1681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.