Active NPI
Corey Michael Ratsch
- Athletic Trainer
- Cranberry TWP, PA
National Provider Identifier
1669938080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RTO000546
- Practice address
- 8000 Cranberry Springs Dr
Cranberry TWP, PA 16066-6687 - Phone
- (217) 836-4455
- NPI assigned
- Feb 11, 2019
- 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 | RTO000546 | PA | Primary |
Addresses
Primary practice location
8000 Cranberry Springs Dr
Cranberry TWP, PA 16066-6687
Mailing address
1731 Trenton CT
Cranberry TWP, PA 16066-7134
Phone (217) 836-4455
Other practice location 1
1116 E Cherry St Rm 300
Springfield, MO 65807-1517
Phone (216) 836-4455
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 |
|---|---|---|---|
| RTO000546 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1669938080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 TRENTON CT",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160667134",
"telephone_number": "217-836-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 CRANBERRY SPRINGS DR",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160666687",
"telephone_number": "217-836-4455"
}
],
"practiceLocations": [
{
"address_1": "1116 E Cherry St Rm 300",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658071517",
"country_code": "US",
"telephone_number": "216-836-4455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATSCH",
"first_name": "COREY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-11",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RTO000546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranberry TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.