Michael Hlavaty, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4529 E Frye Rd
Phoenix, AZ 85048-7601

Phone

(620) 617-7371

NPI assigned

Dec 8, 2018

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1780155374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 E FRYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4529 E FRYE RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487601",
            "telephone_number": "620-617-7371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "591 Joseph E Gottfriend Dr",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366880001",
            "country_code": "US",
            "telephone_number": "620-617-7371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HLAVATY",
        "first_name": "MICHAEL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-08",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Joseph Hjerpe
• HKSM Medical LLC
• James Robert Hladik, D.D.S.
• Daniel Leonard Hlavacek, CCDS
• Diane Elizabeth Hlavacek, MD
• Kara Hlebak, DPT
• Thomas Scott Hlebasko, RN
• Alex Hlubocky, M.D.
• Cheryl B Hnatiuk, FNP-C
• Atalie Gail Ho Lem, PT

• Athletic Trainer in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.