Active NPI
James Pecha, L.A.T.
- Athletic Trainer
- Menomonee Falls, WI
National Provider Identifier
1770979817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 407-039
- Practice address
- N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301 - Phone
- (262) 532-1100
- Fax
- (262) 532-1409
- NPI assigned
- Apr 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 407-039 | WI | Primary |
Addresses
Primary practice location
N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301
Mailing address
W201N16245 Ash Dr
Jackson, WI 53037-9258
Phone (262) 751-0504
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 |
|---|---|---|---|
| 407-039 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1770979817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W201N16245 ASH DR",
"city": "JACKSON",
"state": "WI",
"postal_code": "530379258",
"telephone_number": "262-751-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N91W15750 FALLS PKWY",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512301",
"telephone_number": "262-532-1100",
"fax_number": "262-532-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECHA",
"first_name": "JAMES",
"credential": "L.A.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-15",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "407-039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.