Ralph Anthony Neighbors, MS, ATC/L, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0158 Issued in AZ

Practice address

1138 N 88TH St
Mesa, AZ 85207-5107

Phone

(602) 369-1194

NPI assigned

Dec 14, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tony Neighbors Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1700115151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 N 88TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075107",
            "telephone_number": "602-369-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N 88TH ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075107",
            "telephone_number": "602-369-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIGHBORS",
        "first_name": "RALPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MS, ATC/L, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "NEIGHBORS",
            "credential": "MS, ATC/L, CSCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Athletic Trainer in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.