Active NPI
Noah Thaman
- Athletic Trainer
- Ft Lauderdale, FL
National Provider Identifier
1568834331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL4706
- Practice address
- 3301 College Ave.
Ft Lauderdale, FL 33314 - Phone
- (954) 336-3762
- NPI assigned
- Oct 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL4706 | FL | Primary |
| Athletic Trainer | 2255A2300X | 36002225A | IN |
Addresses
Primary practice location
3301 College Ave.
Ft Lauderdale, FL 33314
Mailing address
3301 College Ave.
Ft Lauderdale, FL 33314-7796
Phone (954) 336-3762
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 |
|---|---|---|---|
| AL4706 | FL | MD | Athletic Trainer |
| 36002225A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1568834331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVE.",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333147796",
"telephone_number": "954-336-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVE.",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33314",
"telephone_number": "954-336-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAMAN",
"first_name": "NOAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-20",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL4706",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36002225A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.