Individual provider Active NPI

Maria A Popek, LAT, ATC

  • Athletic Trainer
  • Bethlehem, PA
National Provider Identifier
1427553585
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT007221 Issued in PA
Practice address
77 S Commerce Way
Bethlehem, PA 18017-8891
Phone
(484) 464-3060
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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 RT007221 PA Primary

Addresses

Primary practice location

77 S Commerce Way
Bethlehem, PA 18017-8891

Mailing address

21 W 5TH St
Jim Thorpe, PA 18229-2103
Phone (484) 464-3060

Other practice location 1

21 W 5th St
Jim Thorpe, PA 18229-2103
Phone (484) 464-3060

Other practice location 2

1580 Beverly Hills Rd
Coopersburg, PA 18036-3125
Phone (484) 464-3060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.donati@sluhn.org Health Information Exchange (HIE) St. Luke's University Health Network

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

LicenseStateTypeSpecialty
RT007221PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1427553585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W 5TH ST",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182292103",
            "telephone_number": "484-464-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S COMMERCE WAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178891",
            "telephone_number": "484-464-3060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Jim Thorpe",
            "state": "PA",
            "postal_code": "182292103",
            "country_code": "US",
            "telephone_number": "484-464-3060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Beverly Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Coopersburg",
            "state": "PA",
            "postal_code": "180363125",
            "country_code": "US",
            "telephone_number": "484-464-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPEK",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.donati@sluhn.org",
            "affiliation": "Y",
            "affiliationName": "St. Luke's University Health Network",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "77 S Commerce Way",
            "city": "Bethlehem",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180178891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.