Sean Berry, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001975 Issued in OH

Practice address

4440 Glen Este Withamsville Rd
Cincinnati, OH 45245-1318

Phone

(513) 943-3630

Fax

(513) 753-4308

NPI assigned

Jun 16, 2012

Last updated

Feb 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1437412301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 CREEK RD",
            "address_2": "SUITE 110",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452428398",
            "telephone_number": "513-733-9333",
            "fax_number": "513-588-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 GLEN ESTE WITHAMSVILLE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451318",
            "telephone_number": "513-943-3630",
            "fax_number": "513-753-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "SEAN",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-16",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT001975",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa N. Berry, MS
• Mackenzie Berry, PA-C
• Malea Berry
• Peyton Nicole Berry, LPN
• Ravi B Berry, MD
• Stanley V Berry, CHEF
• Veronica Anne Berry, LSW
• Christopher N Berryman
• Eric Raymond Bertelsen
• Christina Foote Berten, LISW-S

• Athletic Trainer in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.