Individual provider Active NPI

Nicholas F Ogles, LAT, ATC, S-EMR

  • Athletic Trainer
  • S Hamilton, MA
National Provider Identifier
1609453869
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AH-1485 Issued in MA
Practice address
537 Highland St
S Hamilton, MA 01982-1399
Phone
(978) 564-0655
Fax
(978) 468-3758
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AH-1485 MA Primary

Addresses

Primary practice location

537 Highland St
S Hamilton, MA 01982-1399

Mailing address

537 Highland St
S Hamilton, MA 01982-1399
Phone (978) 564-0655

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

LicenseStateTypeSpecialty
AH-1485MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1609453869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 HIGHLAND ST",
            "city": "S HAMILTON",
            "state": "MA",
            "postal_code": "019821399",
            "telephone_number": "978-564-0655",
            "fax_number": "978-468-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 HIGHLAND ST",
            "city": "S HAMILTON",
            "state": "MA",
            "postal_code": "019821399",
            "telephone_number": "978-564-0655",
            "fax_number": "978-468-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLES",
        "first_name": "NICHOLAS",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC, S-EMR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "AH-1485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in S Hamilton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.