Active NPI
Lori Jane Rackley, ATC/LAT
- Athletic Trainer
- Troy, AL
National Provider Identifier
1730315565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1091
- Practice address
- 3230 Stadium Tower Dr
Troy, AL 36082-0001 - Phone
- (334) 670-3720
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- 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 | 1091 | AL | Primary |
Addresses
Primary practice location
3230 Stadium Tower Dr
Troy, AL 36082-0001
Mailing address
6 Stratford LN
Enterprise, AL 36330-8144
Phone (254) 291-1230
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 |
|---|---|---|---|
| 1091 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1730315565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 STRATFORD LN",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363308144",
"telephone_number": "254-291-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3230 STADIUM TOWER DR",
"city": "TROY",
"state": "AL",
"postal_code": "360820001",
"telephone_number": "334-670-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACKLEY",
"first_name": "LORI",
"middle_name": "JANE",
"credential": "ATC/LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, AL
- Premise Health of Alabama Medical PC (The Wellness Center operated by Premise Health)
- Publix Alabama LLC (Publix Pharmacy #1525)
- Joyce Waters Purvis, CRNP
- Courtney Qualls, FNP-C
- R.F. Daughtry Counseling Services, LLC
- Raoy D Lamb OD (Advanced Family Eye Care)
- Stephanie Reese
- Regina Hendrix, D.M.D., L.L.C.
- Nancy Elizabeth Register, C.R.N.P.
- Rehab Associates, LLC (Rehab Associates - Troy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.