Active NPI
Ryan Taylor Peot, ATC
- Athletic Trainer
- Toledo, OH
National Provider Identifier
1659860633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2801 W Bancroft St
Toledo, OH 43606-3390 - Phone
- (419) 530-3542
- NPI assigned
- May 6, 2018
- 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 | WI | Primary |
Addresses
Primary practice location
2801 W Bancroft St
Toledo, OH 43606-3390
Mailing address
2669 Longview LN
Suamico, WI 54173-8018
Phone (920) 737-9127
Other practice location 1
1475 Engineering Dr
Madison, WI 53706-1607
Phone (608) 264-8065
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1659860633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2669 LONGVIEW LN",
"city": "SUAMICO",
"state": "WI",
"postal_code": "541738018",
"telephone_number": "920-737-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W BANCROFT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063390",
"telephone_number": "419-530-3542"
}
],
"practiceLocations": [
{
"address_1": "1475 Engineering Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537061607",
"country_code": "US",
"telephone_number": "608-264-8065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEOT",
"first_name": "RYAN",
"middle_name": "TAYLOR",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-06",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.