Active NPI
Jonathan Daniel Hancock, MS, LAT, ATC, CSCS
- Athletic Trainer
- Grapevine, TX
National Provider Identifier
1700212537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT2004
- Practice address
- 1427 Thistlewood LN
Grapevine, TX 76051-4991 - Phone
- (719) 229-8358
- NPI assigned
- Sep 25, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT2004 | TX | Primary |
Addresses
Primary practice location
1427 Thistlewood LN
Grapevine, TX 76051-4991
Mailing address
1427 Thistlewood LN
Grapevine, TX 76051-4991
Phone (719) 229-8358
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT2004 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1700212537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 THISTLEWOOD LN",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514991",
"telephone_number": "719-229-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 THISTLEWOOD LN",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514991",
"telephone_number": "719-229-8358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "JONATHAN",
"middle_name": "DANIEL",
"credential": "MS, LAT, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT2004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.