Justin Michael Rost, ATC, CSCS, MSE

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2491 Issued in MN

Practice address

2850 Abbey Plaza
Collegeville, MN 56321

Phone

(320) 363-3105

NPI assigned

Mar 27, 2015

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1487048351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29353 LINDBERGH LN",
            "city": "AVON",
            "state": "MN",
            "postal_code": "563109672",
            "telephone_number": "952-221-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ABBEY PLAZA",
            "city": "COLLEGEVILLE",
            "state": "MN",
            "postal_code": "56321",
            "telephone_number": "320-363-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROST",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "ATC, CSCS, MSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "2491",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Collegeville, MN
• Providers in Collegeville, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.