Individual provider Active NPI

Tyler Arnold, ATC, LAT, EMT

  • Athletic Trainer
  • Manheim, PA
National Provider Identifier
1740793876
Registry record updated Nov 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT006835 Issued in PA
Practice address
2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone
(717) 299-4871
NPI assigned
Nov 11, 2017
Last updated
Nov 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT006835 PA Primary

Addresses

Primary practice location

2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149

Mailing address

772 Stracks Dam Rd
Myerstown, PA 17067-2170
Phone (717) 926-3024

Other identifiers 1

IdentifierTypeStateIssuer
174823OtherPAEMT

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
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
RT006835PAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Assoc of Lancaster LTD Past Accepting new patients
Infinity Eye Care, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510358400000",
    "number": "1740793876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 STRACKS DAM RD",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672170",
            "telephone_number": "717-926-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 SPOOKY NOOK RD STE 100",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175459149",
            "telephone_number": "717-299-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "TYLER",
        "credential": "ATC, LAT, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-11",
        "last_updated": "2017-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT006835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMT",
            "identifier": "174823",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manheim, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2017; 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.