Thomas Bakewell

Individual provider Active NPI Athletic Trainer · Pittsburgh, PA

NPI 1649449232 · NPPES record last updated Feb 27, 2008

Key facts

NPI
1649449232
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
RT000788B (PA)
Practice address
155 Cochran Rd
Pittsburgh, PA 15228-1360
Phone
(412) 344-2000
NPI assigned
Feb 27, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RT000788BPAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT000788B PA Yes

Addresses

Primary practice location

155 Cochran Rd
Pittsburgh, PA 15228-1360

Mailing address

3200 S Water St
Pittsburgh, PA 15203-2307

Other providers in Pittsburgh, PA

All providers in Pittsburgh, PA · Athletic Trainer in Pennsylvania

Sources for this page

Verify at the official NPI Registry.