Active NPI
Jonathan David Arndt, MBA, LAT, ATC
- Athletic Trainer
- Owings Mills, MD
National Provider Identifier
1831698760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A0001106
- Practice address
- 11001 Owings Mills Blvd
Owings Mills, MD 21117-2857 - Phone
- (410) 486-7000
- NPI assigned
- Feb 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT006482 | PA | |
| Athletic Trainer | 2255A2300X | A0001106 | MD | Primary |
Addresses
Primary practice location
11001 Owings Mills Blvd
Owings Mills, MD 21117-2857
Mailing address
11001 Owings Mills Blvd
Owings Mills, MD 21117-2857
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0001106 | MD | MD | Athletic Trainer |
| RT006482 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1831698760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 OWINGS MILLS BLVD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 OWINGS MILLS BLVD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172857",
"telephone_number": "410-486-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNDT",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"credential": "MBA, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-06",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT006482",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0001106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.