Individual provider Active NPI

Robert William Sweeney Jr., MS, AT

  • Athletic Trainer
  • Columbus, OH
National Provider Identifier
1376976050
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT620 Issued in OH
Practice address
535 Irving Schottenstein Drive
Woody Hayes Athletic Center
Columbus, OH 43201
Phone
(614) 292-6463
Fax
(614) 292-5825
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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 AT620 OH Primary

Addresses

Primary practice location

535 Irving Schottenstein Drive
Woody Hayes Athletic Center
Columbus, OH 43201

Mailing address

863 Ballater Dr
Delaware, OH 43015-7219
Phone (614) 595-1343

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
AT620OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1376976050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 BALLATER DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157219",
            "telephone_number": "614-595-1343",
            "fax_number": "614-292-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 IRVING SCHOTTENSTEIN DRIVE",
            "address_2": "WOODY HAYES ATHLETIC CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43201",
            "telephone_number": "614-292-6463",
            "fax_number": "614-292-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.