Individual provider Active NPI

Zane Patrick Sebesta, MS-LAT, ATC

  • Athletic Trainer
  • Northampton, PA
National Provider Identifier
1841815909
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT007142 Issued in PA
Practice address
249 James Ave
Northampton, PA 18067-9752
Phone
(610) 739-9372
NPI assigned
Jun 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT007142 PA Primary

Addresses

Primary practice location

249 James Ave
Northampton, PA 18067-9752

Mailing address

249 James Ave
Northampton, PA 18067-9752
Phone (610) 739-9372

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

LicenseStateTypeSpecialty
RT007142PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1841815909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 JAMES AVE",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180679752",
            "telephone_number": "610-739-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 JAMES AVE",
            "city": "NORTHAMPTON",
            "state": "PA",
            "postal_code": "180679752",
            "telephone_number": "610-739-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBESTA",
        "first_name": "ZANE",
        "middle_name": "PATRICK",
        "credential": "MS-LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.