Active NPI
Justin Lee Landers, LAT
- Athletic Trainer
- Katy, TX
National Provider Identifier
1801431002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT2524
- Practice address
- 2818 Fair Chase
Katy, TX 77494 - Phone
- (281) 220-9912
- NPI assigned
- Nov 12, 2019
- 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 | AT2524 | TX | Primary |
Addresses
Primary practice location
2818 Fair Chase
Katy, TX 77494
Mailing address
2818 Fair Chase
Katy, TX 77494
Phone (281) 220-9912
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 |
|---|---|---|---|
| AT2524 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1801431002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 FAIR CHASE",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "281-220-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 FAIR CHASE",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "281-220-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "JUSTIN",
"middle_name": "LEE",
"credential": "LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT2524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.