Paul Andrew Cacolice, A.T.,C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

304 Patterson Hall, Exercise and Rehab Sciences
Slippery Rock University
Slippery Rock, PA 16057

Phone

(724) 738-4308

NPI assigned

Sep 12, 2005

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1386639706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 COTTONWOOD DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461103",
            "telephone_number": "860-841-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PATTERSON HALL, EXERCISE AND REHAB SCIENCES",
            "address_2": "SLIPPERY ROCK UNIVERSITY",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "16057",
            "telephone_number": "724-738-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACOLICE",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "credential": "A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Slippery Rock, PA
• Providers in Slippery Rock, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.