Active NPI
Ryan Wayne Taylor, ATC
- Athletic Trainer
- Orono, ME
National Provider Identifier
1780053181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT256
- Practice address
- 5747 Memorial Gym
University of Maine - Athletic Department
Orono, ME 04469-5747 - Phone
- (207) 581-1072
- Fax
- (207) 581-4474
- NPI assigned
- Sep 16, 2015
- Sex
- Male
- Sole proprietor
- No
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 | AT256 | ME | Primary |
Addresses
Primary practice location
5747 Memorial Gym
University of Maine - Athletic Department
Orono, ME 04469-5747
Mailing address
5747 Memorial Gym
University of Maine - Athletic Department
Orono, ME 04469
Phone (207) 581-1072
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 |
|---|---|---|---|
| AT256 | ME | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba University of Maine Sports Medicine
- Physical Therapist
- Orono, ME
- NPI 1437520764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1780053181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5747 MEMORIAL GYM",
"address_2": "UNIVERSITY OF MAINE - ATHLETIC DEPARTMENT",
"city": "ORONO",
"state": "ME",
"postal_code": "04469",
"telephone_number": "207-581-1072",
"fax_number": "207-581-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5747 MEMORIAL GYM",
"address_2": "UNIVERSITY OF MAINE - ATHLETIC DEPARTMENT",
"city": "ORONO",
"state": "ME",
"postal_code": "044695747",
"telephone_number": "207-581-1072",
"fax_number": "207-581-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RYAN",
"middle_name": "WAYNE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-16",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ME",
"license": "AT256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orono, ME
- Judith Lee Stickles, MA CCCSLP
- Sunbury Primary Care PA (Dirigo Office)
- Sunbury Primary Care, P.a. (Orono Family Medicine)
- Sunderland Counseling and Coaching LLC
- Summer Sunderland, LCSW
- Jennifer Lauren Thompson
- Kristin Michelle Thompson
- Through the Woods Counseling LLC (Joanna Preble)
- Matthew Tomolonius, COTA/L
- Town of Orono (Orono Fire Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.