Active NPI
David R Love, ATC, CSCS
- Athletic Trainer
- Belvidere, IL
National Provider Identifier
1841593290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.002339
- Practice address
- 9393 Beloit Rd
Belvidere, IL 61008-9735 - Phone
- (815) 547-3901
- NPI assigned
- Dec 7, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096.002339 | IL | Primary |
Addresses
Primary practice location
9393 Beloit Rd
Belvidere, IL 61008-9735
Mailing address
970 Stonefield LN
Rockford, IL 61108-2591
Phone (815) 766-2087
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 |
|---|---|---|---|
| 096.002339 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1841593290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 STONEFIELD LN",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082591",
"telephone_number": "815-766-2087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9393 BELOIT RD",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610089735",
"telephone_number": "815-547-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "DAVID",
"middle_name": "R",
"credential": "ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-07",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.002339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.