David Robinson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096004619 Issued in IL

Practice address

17832 Alta Dr
Lockport, IL 60441-4695

Phone

(815) 342-9081

NPI assigned

Apr 26, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1609301738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355827",
            "telephone_number": "815-342-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17832 ALTA DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604414695",
            "telephone_number": "815-342-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "DAVID",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096004619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Richley
• Mariel Rimkus
• Shawnae Rimsnider, MHS, CCC-SLP
• Garry Roberts, PTA
• Selena Roberts, RPH
• Bridget Rohr, MA., CCC-SLP
• Ophelia Rose Romeo, M.S., CCC-SLP
• Salena Roppo
• Tom M Ross, DDS
• Algis A Ruginis, D.D.S.

• Athletic Trainer in Lockport, IL
• Providers in Lockport, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.