Individual provider Active NPI

Ryan Wockley, MS, LAT, ATC, CES

  • Athletic Trainer
  • Pittsburgh, PA
National Provider Identifier
1437557501
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT005910 Issued in PA
Practice address
3200 S Water St
Pittsburgh, PA 15203
Phone
(412) 365-2946
NPI assigned
Dec 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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 RT005910 PA Primary

Addresses

Primary practice location

3200 S Water St
Pittsburgh, PA 15203

Mailing address

0 Woodland Rd
Pittsburgh, PA 15232-2899
Phone (412) 365-2946

Other practice location 1

75 College Ave
Greenville, PA 16125-2186
Phone (724) 589-2000 ext. 2143

Other practice location 2

195 Clinton Lake Rd
Clinton, PA 15026-1933
Phone (412) 708-3611

Other identifiers 2

IdentifierTypeStateIssuer
2000017970OtherBOARD OF CERTIFICATION
RT005910OtherPACOMMONWEALTH OF PENNSYLVANIA ATHLETIC TRAINERS LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RT005910PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1437557501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0 WOODLAND RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322899",
            "telephone_number": "412-365-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15203",
            "telephone_number": "412-365-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 College Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "PA",
            "postal_code": "161252186",
            "country_code": "US",
            "telephone_number": "724-589-2000 x2143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Clinton Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "PA",
            "postal_code": "150261933",
            "country_code": "US",
            "telephone_number": "412-708-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOCKLEY",
        "first_name": "RYAN",
        "credential": "MS, LAT, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION",
            "identifier": "2000017970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA ATHLETIC TRAINERS LICENSE",
            "identifier": "RT005910",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.