Individual provider Active NPI

Paul Francis Fromherz, LAT ATC

  • Athletic Trainer
  • Reno, NV
National Provider Identifier
1780102418
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0506454 Issued in NV
Practice address
3600 Butch Cassidy Way
Reno, NV 89511
Phone
(775) 851-5630
NPI assigned
Sep 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0506454 NV Primary

Addresses

Primary practice location

3600 Butch Cassidy Way
Reno, NV 89511

Mailing address

30 Mogul Mountain Dr
Reno, NV 89523
Phone (775) 815-3881

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

LicenseStateTypeSpecialty
0506454NVMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1780102418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MOGUL MOUNTAIN DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-815-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BUTCH CASSIDY WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-851-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROMHERZ",
        "first_name": "PAUL",
        "middle_name": "FRANCIS",
        "credential": "LAT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.