Individual provider Active NPI

Corey Michael Ratsch

  • Athletic Trainer
  • Cranberry TWP, PA
National Provider Identifier
1669938080
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RTO000546 Issued in PA
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

Updated by the provider on May 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RTO000546PAMDAthletic 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.

Verify at the official NPI Registry.