Active NPI
Henry Rivers, ATC,CSCS
- Athletic Trainer
- Albany, GA
National Provider Identifier
1790102465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 395
- Practice address
- 601 N. Van Bruen St.
Albany, GA 31702 - Phone
- (229) 483-6300
- Fax
- (229) 431-3309
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- 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 | 395 | GA | Primary |
Addresses
Primary practice location
601 N. Van Bruen St.
Albany, GA 31702
Mailing address
PO Box 1470
Albany, GA 31702-1470
Phone (229) 483-6300
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1790102465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1470",
"city": "ALBANY",
"state": "GA",
"postal_code": "317021470",
"telephone_number": "229-483-6300",
"fax_number": "229-431-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N. VAN BRUEN ST.",
"city": "ALBANY",
"state": "GA",
"postal_code": "31702",
"telephone_number": "229-483-6300",
"fax_number": "229-431-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS",
"first_name": "HENRY",
"credential": "ATC,CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.