Active NPI
Eric Joseph Wamsley, ATC
- Athletic Trainer
- Pearl River, NY
National Provider Identifier
1497329635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 002438
- Practice address
- 35 Harding St
Pearl River, NY 10965-1522 - Phone
- (845) 300-0686
- NPI assigned
- May 13, 2021
- 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 | 002438 | NY | Primary |
Addresses
Primary practice location
35 Harding St
Pearl River, NY 10965-1522
Mailing address
35 Harding St
Pearl River, NY 10965-1522
Phone (845) 300-0686
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ericwamsleyatc@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1497329635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HARDING ST",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651522",
"telephone_number": "845-300-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 HARDING ST",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651522",
"telephone_number": "845-300-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAMSLEY",
"first_name": "ERIC",
"middle_name": "JOSEPH",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002438",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ericwamsleyatc@gmail.com",
"affiliation": "N",
"address_1": "35 Harding St",
"city": "Pearl River",
"state": "NY",
"country_code": "US",
"postal_code": "109651522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.