Active NPI
Courtney Shane Wears, ATC
- Athletic Trainer
- Coolville, OH
National Provider Identifier
1376007153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 28600 Torch Rd
Coolville, OH 45723-9024 - Phone
- (740) 860-1278
- NPI assigned
- Jan 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary | ||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
28600 Torch Rd
Coolville, OH 45723-9024
Mailing address
28600 Torch Rd
Coolville, OH 45723-9024
Phone (740) 860-1278
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": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1376007153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28600 TORCH RD",
"city": "COOLVILLE",
"state": "OH",
"postal_code": "457239024",
"telephone_number": "740-860-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28600 TORCH RD",
"city": "COOLVILLE",
"state": "OH",
"postal_code": "457239024",
"telephone_number": "740-860-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEARS",
"first_name": "COURTNEY",
"middle_name": "SHANE",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-25",
"last_updated": "2021-10-15",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coolville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.