Jarrod James, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT006249 Issued in PA

Practice address

114 S Patton Dr
Moon TWP, PA 15108-2524

Phone

(419) 515-1275

NPI assigned

Dec 22, 2020

Last updated

Dec 22, 2020By 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

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1508453796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S PATTON DR",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151082524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S PATTON DR",
            "city": "MOON TWP",
            "state": "PA",
            "postal_code": "151082524",
            "telephone_number": "419-515-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "JARROD",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jo Harmasch, M.D.
• Heritage Valley Medical Group, Inc.
• Heritage Valley Medical Group, Inc. (HVMG Elizabeth Ann Ruberg, D.O.)
• Michael A Hoehle, D.C.
• Meghan Huerbin, LPC
• Victoria Jewell-Mahler
• Chad John
• Frank Kim, M.D.
• Akira Carley Kirkpatrick
• Ashutosh V Kshirsagar, M.D.

• Athletic Trainer in Moon TWP, PA
• Providers in Moon TWP, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.