Active NPI
Michael Francis Fleming Jr., MS, LAT, ATC, CSCS,
- Athletic Trainer
- Spring Grove, PA
National Provider Identifier
1851821821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT004137
- Practice address
- 7369 Woodland Dr
Spring Grove, PA 17362-8623 - Phone
- (717) 600-7621
- NPI assigned
- Jun 13, 2017
- Last updated
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | RT004137 | PA | Primary |
Addresses
Primary practice location
7369 Woodland Dr
Spring Grove, PA 17362-8623
Mailing address
7369 Woodland Dr
Spring Grove, PA 17362-8623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT004137 | Other | PA | PROVIDER CODE 22 |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT004137 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1851821821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7369 WOODLAND DR",
"city": "SPRING GROVE",
"state": "PA",
"postal_code": "173628623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7369 WOODLAND DR",
"city": "SPRING GROVE",
"state": "PA",
"postal_code": "173628623",
"telephone_number": "717-600-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "MICHAEL",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MS, LAT, ATC, CSCS,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER CODE 22",
"identifier": "RT004137",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.