Active NPI
Ryan O'Kane, DAT, LAT, ATC
- Athletic Trainer
- Malvern, PA
National Provider Identifier
1801459169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT006269
- Practice address
- 418 S Warren Ave
Malvern, PA 19355-2707 - Phone
- (610) 812-8248
- NPI assigned
- Apr 22, 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 | RT006269 | PA | Primary |
Addresses
Primary practice location
418 S Warren Ave
Malvern, PA 19355-2707
Mailing address
1224 W Chester Pike Apt A7
West Chester, PA 19382-5664
Phone (610) 733-3346
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 |
|---|---|---|---|
| RT006269 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1801459169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 W CHESTER PIKE APT A7",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193825664",
"telephone_number": "610-733-3346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 S WARREN AVE",
"city": "MALVERN",
"state": "PA",
"postal_code": "193552707",
"telephone_number": "610-812-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KANE",
"first_name": "RYAN",
"credential": "DAT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT006269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.