Individual provider Active NPI

Ryan T Lowery, MS, LAT, ATC, CAFS

  • Athletic Trainer
  • Milwaukee, WI
National Provider Identifier
1396042412
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1141-39 Issued in WI
Practice address
3400 S 103Rd St Ste 300
Milwaukee, WI 53227-4163
Phone
(262) 366-3655
NPI assigned
Feb 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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 1141-39 WI Primary

Addresses

Primary practice location

3400 S 103Rd St Ste 300
Milwaukee, WI 53227-4163

Mailing address

372 Park Hill Dr Unit C
Pewaukee, WI 53072-6005
Phone (262) 385-8905

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
1141-39WIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Sports & Wellness Chiropractic PastSince Apr 3, 2011 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": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1396042412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 PARK HILL DR UNIT C",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530726005",
            "telephone_number": "262-385-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S 103RD ST STE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532274163",
            "telephone_number": "262-366-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "RYAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MS, LAT, ATC, CAFS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-25",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1141-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.