Douglas Cole Ross, ATC, LAT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

AT6463 Issued in TX

Practice address

Asu Station 10889
San Angelo, TX 76909-0899

Phone

(919) 943-2865

NPI assigned

Apr 7, 2017

Last updated

Apr 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1851824668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 PRINCETON AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045840",
            "telephone_number": "919-943-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASU STATION 10889",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769090899",
            "telephone_number": "919-943-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DOUGLAS",
        "middle_name": "COLE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "AT6463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Romatowski
• Yujun Rong
• Dawn Root
• Rooted Wellness Clinic
• Rosie L Ray (Scooter Warehouse & Medical)
• Michael Ross, PA
• Alyssa Rowe, LCSW
• Carol M Rowley, FNP
• Cameron Alcide Roy, PHARMD
• Jennifer Kay Ruda

• Student in an Organized Health Care Education/Training Program in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.