Active NPI
Michele Ann Pallotta, LAT, ATC, M.ED.,
- Athletic Trainer
- Arnold, MD
National Provider Identifier
1851440069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A00210
- Practice address
- 1521 Ritchie Hwy
Suite 201
Arnold, MD 21012-2703 - Phone
- (410) 544-6038
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- 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 | A00210 | MD | Primary |
Addresses
Primary practice location
1521 Ritchie Hwy
Suite 201
Arnold, MD 21012-2703
Mailing address
608 Admiral Dr
420
Annapolis, MD 21401-2184
Phone (216) 780-7799
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00210 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1851440069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 ADMIRAL DR",
"address_2": "420",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012184",
"telephone_number": "216-780-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 RITCHIE HWY",
"address_2": "SUITE 201",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122703",
"telephone_number": "410-544-6038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLOTTA",
"first_name": "MICHELE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LAT, ATC, M.ED.,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A00210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.