Individual provider Active NPI

Aaron Cammon, PT, NC, CES

  • Athletic Trainer
  • Willoughby Hills, OH
National Provider Identifier
1730847872
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1190371941 Issued in OH
Practice address
29465 White Rd
Willoughby Hills, OH 44092-1456
Phone
(216) 882-8926
NPI assigned
Dec 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 1190371941 OH
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 1190371941 OH Primary

Addresses

Primary practice location

29465 White Rd
Willoughby Hills, OH 44092-1456

Mailing address

29465 White Rd
Willoughby Hills, OH 44092-1456
Phone (216) 882-8926

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

LicenseStateTypeSpecialty
1190371941OHMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1730847872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29465 WHITE RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440921456",
            "telephone_number": "216-882-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29465 WHITE RD",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440921456",
            "telephone_number": "216-882-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMON",
        "first_name": "AARON",
        "credential": "PT, NC, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "OH",
            "license": "1190371941",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "1190371941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.