Active NPI
Cory Tyler Donley, BS, LAT, ATC
- Athletic Trainer
- Hurricane, WV
National Provider Identifier
1609482629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000033214
- Practice address
- 2648 Main St Apt 8
Hurricane, WV 25526-1439 - Phone
- (606) 939-9703
- NPI assigned
- Sep 16, 2020
- Last updated
- Sep 16, 2020
- 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 | 2000033214 | KY | Primary |
Addresses
Primary practice location
2648 Main St Apt 8
Hurricane, WV 25526-1439
Mailing address
2648 Main St Apt 8
Hurricane, WV 25526-1439
Phone (606) 939-9703
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000033214 | KY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1609482629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2648 MAIN ST APT 8",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255261439",
"telephone_number": "606-939-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2648 MAIN ST APT 8",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255261439",
"telephone_number": "606-939-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONLEY",
"first_name": "CORY",
"middle_name": "TYLER",
"credential": "BS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "2000033214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hurricane, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.