Active NPI
Danielle Bryant, ATC, LAT
- Athletic Trainer
- North East, MD
National Provider Identifier
1619411626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A00865
- Practice address
- 2314 Pulaski Hwy
North East, MD 21901-3730 - Phone
- (410) 287-2940
- NPI assigned
- Dec 9, 2016
- Last updated
- Dec 9, 2016
- Sex
- Female
- 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 | A00865 | MD | Primary |
Addresses
Primary practice location
2314 Pulaski Hwy
North East, MD 21901-3730
Mailing address
1350 Baldwin Mill Rd
Jarrettsville, MD 21084-1906
Phone (910) 650-7569
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 |
|---|---|---|---|
| A00865 | MD | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1619411626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 BALDWIN MILL RD",
"city": "JARRETTSVILLE",
"state": "MD",
"postal_code": "210841906",
"telephone_number": "910-650-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 PULASKI HWY",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219013730",
"telephone_number": "410-287-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "DANIELLE",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-09",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A00865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North East, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.