Active NPI
Mary Rock, ATC, LAT, SA
- Athletic Trainer
- Highlands Ranch, CO
National Provider Identifier
1548552557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0506051
- Practice address
- 1500 Park Central Dr Ste 401
Highlands Ranch, CO 80129-6935 - Phone
- (720) 916-3802
- Fax
- (303) 662-9056
- NPI assigned
- May 9, 2011
- Sex
- Female
- 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 | 0506051 | NV | Primary |
Addresses
Primary practice location
1500 Park Central Dr Ste 401
Highlands Ranch, CO 80129-6935
Mailing address
10796 Valencia Hills St
Las Vegas, NV 89141-4248
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0506051 | NV | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1548552557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10796 VALENCIA HILLS ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891414248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PARK CENTRAL DR STE 401",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801296935",
"telephone_number": "720-916-3802",
"fax_number": "303-662-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "MARY",
"credential": "ATC, LAT, SA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NV",
"license": "0506051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
- Amy Michelle Roberts, D.D.S.
- Kelsey Roberts, PT, DPT
- Gina Robinson
- Christopher Wayne Robl, DPT
- Rock Canyon Dental Care, LLC
- Rocky Mountain Brain & Spine Emergency Services LLC
- Rocky Mountain Brain & Spine Institute PLLC
- Rocky Mountain Interoperative Neuromonitoring LLC
- Rocky Mountain Speech Therapy Inc
- Rocky Mountain Therapy Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.