Active NPI
Courtney Harle, ATC, LAT
- Athletic Trainer
- Orlando, FL
National Provider Identifier
1659859973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL5216
- Practice address
- 3451 Technological Ave Ste 1
Orlando, FL 32817-8353 - Phone
- (407) 539-4964
- NPI assigned
- Jul 30, 2018
- Last updated
- Jul 30, 2018
- 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 | AL5216 | FL | Primary |
Addresses
Primary practice location
3451 Technological Ave Ste 1
Orlando, FL 32817-8353
Mailing address
735 Musago Run
Lake Mary, FL 32746-2209
Phone (347) 229-7386
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 |
|---|---|---|---|
| AL5216 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1659859973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 MUSAGO RUN",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462209",
"telephone_number": "347-229-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 TECHNOLOGICAL AVE STE 1",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178353",
"telephone_number": "407-539-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLE",
"first_name": "COURTNEY",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL5216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.