Active NPI
Holly Bachman, LAT, ATC
- Sports Medicine (Emergency Medicine) Physician
- Butler, PA
National Provider Identifier
1699257709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- RT007131
- Practice address
- 267 Green Manor Dr
Butler, PA 16002-3718 - Phone
- (724) 814-1396
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | RT007131 | PA | Primary |
Addresses
Primary practice location
267 Green Manor Dr
Butler, PA 16002-3718
Mailing address
267 Green Manor Dr
Butler, PA 16002-3718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT007131 | Other | PA | ATHLETIC TRAINING |
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 |
|---|---|---|---|
| RT007131 | PA | MD | Sports Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1699257709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 GREEN MANOR DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160023718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GREEN MANOR DR",
"city": "BUTLER",
"state": "PA",
"postal_code": "160023718",
"telephone_number": "724-814-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHMAN",
"first_name": "HOLLY",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Sports Medicine",
"state": "PA",
"license": "RT007131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINING",
"identifier": "RT007131",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.