Bobby Feeback, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6010 Issued in TX

Practice address

1 Cowboys Pkwy
Irving, TX 75063-4924

Phone

(859) 588-5582

NPI assigned

Aug 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1760881643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 GRAPEVINE MILLS PKWY",
            "address_2": "APT 3237",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511989",
            "telephone_number": "859-588-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COWBOYS PKWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634924",
            "telephone_number": "859-588-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEBACK",
        "first_name": "BOBBY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Thomas Faugno, CRNA, BSN, RN
• Savannah Faurot
• Bruce M Faust, M.D.
• Patra Fazel, O.D
• Kee Fedak, D.C.
• Terrence M Feehery, DO
• Robert Scott Feferman, MD
• Luann Feld, PT
• Aireeas Feleti
• Felicia Fortner

• Athletic Trainer in Irving, TX
• Providers in Irving, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.