Active NPI
Aaron Goodrich, ATC, LAT, LMT
- Athletic Trainer
- Huntington, WV
National Provider Identifier
1457754483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT.004141
- Practice address
- 2828 1St Ave
Huntington, WV 25702-1236 - Phone
- (304) 525-6905
- NPI assigned
- Oct 5, 2014
- Sex
- Male
- Sole proprietor
- No
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 | AT.004141 | OH | Primary |
Addresses
Primary practice location
2828 1St Ave
Huntington, WV 25702-1236
Mailing address
6 Fairfax Dr
Chesapeake, OH 45619-7093
Phone (419) 377-0981
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 |
|---|---|---|---|
| AT.004141 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412467200000",
"number": "1457754483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 FAIRFAX DR",
"city": "CHESAPEAKE",
"state": "OH",
"postal_code": "456197093",
"telephone_number": "419-377-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 1ST AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021236",
"telephone_number": "304-525-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "AARON",
"credential": "ATC, LAT, LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-05",
"last_updated": "2014-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT.004141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.