Ross Elliott McRae, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3348 Issued in TX

Practice address

4501 Bridge St
Fort Worth, TX 76103-1160

Phone

(817) 800-0026

NPI assigned

Aug 22, 2017

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

Other names 1

• Mr. Ross Elliott McRae Professional name

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1831615798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 BRIDGE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031160",
            "telephone_number": "817-457-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 BRIDGE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031160",
            "telephone_number": "817-800-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "ROSS",
        "middle_name": "ELLIOTT",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSS",
            "last_name": "MCRAE",
            "middle_name": "ELLIOTT",
            "prefix": "MR.",
            "credential": "LAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jacqueline Nicole McNulty, PHARMD
• Gina Marie McPhail
• Melanie McPherson, DDS
• Rebecca Louise McPherson
• Michael G McQuitty, BA
• David B McReynolds, MD
• Sejon McRoy
• Debra A. McSherry, LCSW, LSOTP
• Michael McVey, LMFT
• Joseph Francis McWherter, MD

• Athletic Trainer in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.