Active NPI
Brady Cavinee, ATC, LAT
- Athletic Trainer
- Carmel, IN
National Provider Identifier
1447623715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36002734A
- Practice address
- 11595 N Meridian St
Carmel, IN 46032-6947 - Phone
- (317) 509-0066
- NPI assigned
- Nov 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 36002734A | IN | Primary |
Addresses
Primary practice location
11595 N Meridian St
Carmel, IN 46032-6947
Mailing address
3203A Fall Creekway E
Indianapolis, IN 46205-2442
Phone (812) 212-2208
Other practice location 1
7383 Port Royale Ave
Russells Point, OH 43348-9309
Phone (812) 212-2208
Other practice location 2
7383 Port Royale Ave
Russells Point, OH 43348-9309
Phone (812) 212-2208
Other practice location 3
7022 N Hamburg Rd
Oldenburg, IN 47036-9758
Phone (812) 212-2208
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 |
|---|---|---|---|
| 36002734A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1447623715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3203A FALL CREEKWAY E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462052442",
"telephone_number": "812-212-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11595 N MERIDIAN ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460326947",
"telephone_number": "317-509-0066"
}
],
"practiceLocations": [
{
"address_1": "7383 Port Royale Ave",
"address_purpose": "LOCATION",
"city": "Russells Point",
"state": "OH",
"postal_code": "433489309",
"country_code": "US",
"telephone_number": "812-212-2208",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7383 Port Royale Ave",
"address_purpose": "LOCATION",
"city": "Russells Point",
"state": "OH",
"postal_code": "433489309",
"country_code": "US",
"telephone_number": "812-212-2208",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7022 N Hamburg Rd",
"address_purpose": "LOCATION",
"city": "Oldenburg",
"state": "IN",
"postal_code": "470369758",
"country_code": "US",
"telephone_number": "812-212-2208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAVINEE",
"first_name": "BRADY",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002734A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.