Jordain Layne Pomycala, MS LAT ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT005340 Issued in PA

Practice address

2757 Leechburg Rd
Lower Burrell, PA 15068-3138

Phone

(724) 337-6522

Fax

(724) 337-0630

NPI assigned

Feb 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jordain Layne Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1780009993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CRAIGDELL RD",
            "address_2": "APT. 404",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150683054",
            "telephone_number": "412-992-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683138",
            "telephone_number": "724-337-6522",
            "fax_number": "724-337-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMYCALA",
        "first_name": "JORDAIN",
        "middle_name": "LAYNE",
        "name_prefix": "Mrs.",
        "credential": "MS LAT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAIN",
            "last_name": "ANDERSON",
            "middle_name": "LAYNE",
            "credential": "MS LAT ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Patterson, DMD
• Kelli Jeanne Paulat, MPT
• Penn Psycare Inc
• Katie Marie Perry, CRNP
• Gregory Pierson
• Robin Niccole Porter
• Thomas Paul Porter, MPT
• Jayne Scherf Prelosky, RPH
• Prince Mark'S Place
• John William Pullano, PT

• All providers in Lower Burrell, PA
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.