Johnathon Wyatt Friar, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

5240 Issued in NC

Practice address

13440 Lucia Riverbend Hwy
Mount Holly, NC 28120-9766

Phone

(704) 827-8840

NPI assigned

Jul 2, 2020

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Island Charter School Inc

  • Local Education Agency (LEA)
  • Mount Holly, NC
  • NPI 1497488514
  NPD

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1386261691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 LUCIA RIVERBEND HWY",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281209766",
            "telephone_number": "704-827-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Joseph St",
            "address_purpose": "LOCATION",
            "city": "Central",
            "state": "SC",
            "postal_code": "296309275",
            "country_code": "US",
            "telephone_number": "864-506-1877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIAR",
        "first_name": "JOHNATHON",
        "middle_name": "WYATT",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "5240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ford Williams Family Therapy, LLC (Ford Williams Family Therapy)
• Fostering the Mind, PLLC
• Victoria Fowler, SLP
• Angela Marie Fox-Putnam, OD
• Melissa Joan Francis, LPCA
• Anna Elisabeth Frye
• Gaston Family Health Services, Inc. (Kintegra at Pinewood Elementary)
• Gaston Family Health Services, Inc. (Kintegra at Mt Holly Middle)
• Gaston Family Health Services, Inc. (Kintegra at East Gaston High)
• Gaston Family Health Services, Inc. (Kintegra at Rankin Elementary)

• Athletic Trainer in Mount Holly, NC
• Providers in Mount Holly, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.