Active NPI
Isaac Grant Horsch, ATC
- Athletic Trainer
- Mobile, AL
National Provider Identifier
1669972766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 6700 Wall St Apt 10H
Mobile, AL 36695-4530 - Phone
- (217) 778-8201
- NPI assigned
- Feb 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2771 | AL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
6700 Wall St Apt 10H
Mobile, AL 36695-4530
Mailing address
2956 County Road 300 E
Fisher, IL 61843-9761
Phone (217) 778-8201
Other practice location 1
2956 Cr 300 E
Fisher, IL 61843
Phone (217) 778-8201
Other practice location 2
1307 W Lincoln Hwy
Apt. 3112
DeKalb, IL 60115-6011
Phone (217) 778-8201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 940571303-02 | Other | HEALTH ALLIANCE |
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 |
|---|---|---|---|
| 2771 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1669972766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2956 COUNTY ROAD 300 E",
"city": "FISHER",
"state": "IL",
"postal_code": "618439761",
"telephone_number": "217-778-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 WALL ST APT 10H",
"city": "MOBILE",
"state": "AL",
"postal_code": "366954530",
"telephone_number": "217-778-8201"
}
],
"practiceLocations": [
{
"address_1": "2956 Cr 300 E",
"address_purpose": "LOCATION",
"city": "Fisher",
"state": "IL",
"postal_code": "61843",
"country_code": "US",
"telephone_number": "217-778-8201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1307 W Lincoln Hwy",
"address_2": "Apt. 3112",
"address_purpose": "LOCATION",
"city": "DeKalb",
"state": "IL",
"postal_code": "601156011",
"country_code": "US",
"telephone_number": "217-778-8201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORSCH",
"first_name": "ISAAC",
"middle_name": "GRANT",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-15",
"last_updated": "2023-07-14",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2771",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "940571303-02",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.