Active NPI
Brian Lorance, ATC
- Athletic Trainer
- Ada, OK
National Provider Identifier
1407234693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 535
- Practice address
- 1100 E. 14St.
Ada, OK 74820 - Phone
- (580) 559-5315
- Fax
- (580) 332-8361
- NPI assigned
- May 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 535 | OK | Primary |
Addresses
Primary practice location
1100 E. 14St.
Ada, OK 74820
Mailing address
1100 E 14TH St
Ada, OK 74820-6915
Phone (580) 559-5315
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 535 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1407234693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E 14TH ST",
"city": "ADA",
"state": "OK",
"postal_code": "748206915",
"telephone_number": "580-559-5315",
"fax_number": "580-332-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E. 14ST.",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-559-5315",
"fax_number": "580-332-8361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORANCE",
"first_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.