Active NPI
Christopher Alan Fertal, ATC.,EMT,CSCS
- Athletic Trainer
- Wynnewood, PA
National Provider Identifier
1528052537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT003258
- Practice address
- 1101 City Ave
Wynnewood, PA 19096-3418 - Phone
- (610) 645-5089
- Fax
- (610) 658-5616
- NPI assigned
- Sep 6, 2005
- 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 | RT003258 | PA | Primary |
Addresses
Primary practice location
1101 City Ave
Wynnewood, PA 19096-3418
Mailing address
279 Congress Ave
Lansdowne, PA 19050-1206
Phone (610) 960-6822
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
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT003258 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528052537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 CONGRESS AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190501206",
"telephone_number": "610-960-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CITY AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963418",
"telephone_number": "610-645-5089",
"fax_number": "610-658-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERTAL",
"first_name": "CHRISTOPHER",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "ATC.,EMT,CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT003258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.