Active NPI
Rafael Marins Freitas
- Athletic Trainer
- Milwaukee, WI
National Provider Identifier
1699313643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1945-39
- Practice address
- 1 Brewers Way
Milwaukee, WI 53214-3655 - Phone
- (414) 514-9720
- NPI assigned
- Dec 19, 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 | 1945-39 | WI | Primary |
Addresses
Primary practice location
1 Brewers Way
Milwaukee, WI 53214-3655
Mailing address
1570 N Prospect Ave Apt 503
Milwaukee, WI 53202-2317
Phone (623) 628-5404
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 |
|---|---|---|---|
| 1945-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1699313643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1570 N PROSPECT AVE APT 503",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022317",
"telephone_number": "623-628-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BREWERS WAY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532143655",
"telephone_number": "414-514-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINS FREITAS",
"first_name": "RAFAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1945-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.