Active NPI
Daniel Ray Mapes, ATC
- Athletic Trainer
- Saint Louis, MO
National Provider Identifier
1558036772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 5000 S Lindbergh Blvd
Saint Louis, MO 63126-3236 - Phone
- (707) 331-5733
- NPI assigned
- Aug 10, 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 | Primary |
Addresses
Primary practice location
5000 S Lindbergh Blvd
Saint Louis, MO 63126-3236
Mailing address
573 Colonial Dr
Wood River, IL 62095-1881
Phone (707) 331-5733
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": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1558036772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 COLONIAL DR",
"city": "WOOD RIVER",
"state": "IL",
"postal_code": "620951881",
"telephone_number": "707-331-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 S LINDBERGH BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631263236",
"telephone_number": "707-331-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAPES",
"first_name": "DANIEL",
"middle_name": "RAY",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-10",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.