Active NPI
Michael Marcelino Cruz, ATC, CSCS
- Athletic Trainer
- Phoenix, AZ
National Provider Identifier
1578885026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0930
- Practice address
- 4840 E Indian School Rd
Suite 103
Phoenix, AZ 85018-5500 - Phone
- (602) 956-2850
- Fax
- (602) 956-2877
- NPI assigned
- Feb 25, 2010
- 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 | 0930 | AZ | Primary |
Addresses
Primary practice location
4840 E Indian School Rd
Suite 103
Phoenix, AZ 85018-5500
Mailing address
4840 E Indian School Rd
Suite 103
Phoenix, AZ 85018-5500
Phone (602) 956-2850
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 |
|---|---|---|---|
| 0930 | AZ | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strength Training Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1578885026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4840 E INDIAN SCHOOL RD",
"address_2": "SUITE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185500",
"telephone_number": "602-956-2850",
"fax_number": "602-956-2877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 E INDIAN SCHOOL RD",
"address_2": "SUITE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185500",
"telephone_number": "602-956-2850",
"fax_number": "602-956-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "MICHAEL",
"middle_name": "MARCELINO",
"credential": "ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.