Individual provider Active NPI

Andrew J. Tees, MS, ATC, LAT

  • Athletic Trainer
  • Shippensburg, PA
National Provider Identifier
1508191099
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT004824 Issued in PA
Practice address
312 Volvo Way
Shippensburg, PA 17257-9209
Phone
(717) 530-6520
NPI assigned
Oct 16, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 RT004824 PA Primary

Addresses

Primary practice location

312 Volvo Way
Shippensburg, PA 17257-9209

Mailing address

312 Volvo Way
Shippensburg, PA 17257-9209
Phone (717) 530-6520

Other practice location 1

1145 King Rd
Immaculata, PA 19345-9903
Phone (610) 647-4400 ext. 3140

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
RT004824PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508191099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 VOLVO WAY",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579209",
            "telephone_number": "717-530-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 VOLVO WAY",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579209",
            "telephone_number": "717-530-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 King Rd",
            "address_purpose": "LOCATION",
            "city": "Immaculata",
            "state": "PA",
            "postal_code": "193459903",
            "country_code": "US",
            "telephone_number": "610-647-4400 x3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEES",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippensburg, PA

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.

Verify at the official NPI Registry.