Active NPI
John Anthony Armenta, ATC
- Athletic Trainer
- Chicago, IL
National Provider Identifier
1629348263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 96002280
- Practice address
- 205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216 - Phone
- (773) 544-7746
- NPI assigned
- Jan 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 96002280 | IL | Primary |
Addresses
Primary practice location
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Mailing address
143 Morningside LN E
Buffalo Grove, IL 60089-1577
Phone (773) 544-7746
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 |
|---|---|---|---|
| 96002280 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1629348263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 MORNINGSIDE LN E",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891577",
"telephone_number": "773-544-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "SUITE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "773-544-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMENTA",
"first_name": "JOHN",
"middle_name": "ANTHONY",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-12",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "96002280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.