Active NPI
Mark Webber, ATC
- Athletic Trainer
- Boston, MA
National Provider Identifier
1407255128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2129
- Practice address
- 100 Morrissey Blvd
Boston, MA 02125-3300 - Phone
- (617) 287-5563
- NPI assigned
- Aug 19, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 2129 | MA | Primary |
Addresses
Primary practice location
100 Morrissey Blvd
Boston, MA 02125-3300
Mailing address
37 Windchime Dr
Mansfield, MA 02048-2933
Phone (774) 266-6383
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 |
|---|---|---|---|
| 2129 | MA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1407255128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 WINDCHIME DR",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482933",
"telephone_number": "774-266-6383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MORRISSEY BLVD",
"city": "BOSTON",
"state": "MA",
"postal_code": "021253300",
"telephone_number": "617-287-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBBER",
"first_name": "MARK",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.