Nicholas William Mobile

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007519 Issued in PA

Practice address

700 S High St
West Chester, PA 19383-0003

Phone

(484) 889-1778

NPI assigned

Mar 7, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1831657808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W KINGS HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201714",
            "telephone_number": "484-889-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HIGH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193830003",
            "telephone_number": "484-889-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 W Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Coatesville",
            "state": "PA",
            "postal_code": "193201714",
            "country_code": "US",
            "telephone_number": "484-889-1778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBILE",
        "first_name": "NICHOLAS",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna-Maria Miraldi, P.T.
• Lindsey Misci, PHARMD
• Maryanne Misiak
• Amy J Miskis, M.S. SLP
• Elizabeth Mistrik, MS OTR/L
• Diana Theresa Moehler
• Momentum Counseling & Coaching LLC
• Spencer Joseph Monaco, DPM
• Sarah Ann Monell, MSPT
• Francine Mercedes Montagnolo, PSY.D.

• Athletic Trainer in West Chester, PA
• Providers in West Chester, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.