Organization Active NPI

Hold Fast Performance & Wellness

  • Athletic Trainer
  • Perrysburg, OH
National Provider Identifier
1760106165
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Legal business name
HOLD FAST PERFORMANCE & WELLNESS
Practice address
13000 Eckel Junction Rd
Perrysburg, OH 43551-1311
Phone
(419) 482-8244
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Courtney Desorbo, MS, AT, ATC, CSCS
Title
Licensed Athletic Trainer
Phone
(419) 482-8244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X Primary

Addresses

Primary practice location

13000 Eckel Junction Rd
Perrysburg, OH 43551-1311

Mailing address

7224 Hunters Chase
Maumee, OH 43537-9250
Phone (952) 240-1853

National Provider Directory

National Provider Directory

Locations

13000 Eckel Junction Rd
Perrysburg, OH 43551
Phone (419) 482-8244

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1760106165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 HUNTERS CHASE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379250",
            "telephone_number": "952-240-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511311",
            "telephone_number": "419-482-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLD FAST PERFORMANCE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "DESORBO",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "LICENSED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "419-482-8244",
        "authorized_official_credential": "MS, AT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.