Luis Dariel Rodas, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2329 Issued in TN

Practice address

4650 Buccaneer TRL
Chattanooga, TN 37411-1247

Phone

(617) 742-3622

NPI assigned

Apr 20, 2020

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

State licenses

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1821618869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 SHALLOWFORD RD APT 519",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216906",
            "telephone_number": "615-482-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 BUCCANEER TRL",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374111247",
            "telephone_number": "617-742-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODAS",
        "first_name": "LUIS",
        "middle_name": "DARIEL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Roche-Dalton
• English A. Rockholt, M.D.
• Jo Ellen D Rockow, CST CFA
• Laura Rocks, LPC-MHSP
• Bethany Allen Rockwood, PA-C
• Lacie L. Roddy, FNP-BC. RM
• Raymond F. Roddy, D.C.
• Elaina Rodela, MD
• Andrew Roden, PA-C
• Brandon Ellis Rodgers, PH.D.

• Athletic Trainer in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.