Jeremiah Thomas Foster, ATC, C.S.C.S.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-76 Issued in MA

Practice address

360 Huntington Ave
140 Marino Center
Boston, MA 02115-5005

Phone

(617) 373-7766

Fax

(617) 373-8278

NPI assigned

Jun 27, 2006

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

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407883382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 REYNOLDS RD",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601613",
            "telephone_number": "978-531-9453",
            "fax_number": "617-373-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HUNTINGTON AVE",
            "address_2": "140 MARINO CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155005",
            "telephone_number": "617-373-7766",
            "fax_number": "617-373-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JEREMIAH",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "ATC, C.S.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "AT-76",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsie Julia Foster, ANP BC
• Frances B Foster, NP
• Gabriel Foster, M.D.
• Gerald F. Foster, MD
• Haribaldev Quanyin Foster
• John Foster, MD
• Judith Kimber Foster, MS, CGC
• Julianne S Foster, P.A.
• Kayley Adrienna Foster, CCC-SLP
• Lisa Alison Foster, MS, ANP

• Athletic Trainer in Boston, MA
• Providers in Boston, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.