Active NPI
Michael Higgins, ATC, PT, CSCS
- Athletic Trainer
- Charlottesville, VA
National Provider Identifier
1871587675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002711
- Practice address
- 210 Emmet St S
Charlottesville, VA 22903-2455 - Phone
- (434) 924-7907
- NPI assigned
- Sep 7, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 2305003798 | VA | |
| Sports Physical Therapist | 2251S0007X | 16418 | MD | |
| Sports Physical Therapist | 2251S0007X | 1016 | DE | |
| Athletic Trainer | 2255A2300X | J30000104 | DE | |
| Athletic Trainer | 2255A2300X | 0126002711 | VA | Primary |
Addresses
Primary practice location
210 Emmet St S
Charlottesville, VA 22903-2455
Mailing address
1101 Killdeer LN
Crozet, VA 22932-2832
Phone (443) 848-3317
Other practice location 1
301 E Delaware Ave
University of Delaware Mckinly Lab
Newark, DE 19711-7103
Phone (302) 831-8893
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 |
|---|---|---|---|
| 16418 | MD | MD | Pharmacist |
| 1016 | DE | MD | Sports Physical Therapist |
| 2305003798 | VA | MD | Sports Physical Therapist |
| J30000104 | DE | MD | Athletic Trainer |
| 0126002711 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593734400000",
"number": "1871587675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 KILLDEER LN",
"city": "CROZET",
"state": "VA",
"postal_code": "229322832",
"telephone_number": "443-848-3317",
"fax_number": "410-704-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 EMMET ST S",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229032455",
"telephone_number": "434-924-7907"
}
],
"practiceLocations": [
{
"address_1": "301 E Delaware Ave",
"address_2": "University of Delaware Mckinly Lab",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197117103",
"country_code": "US",
"telephone_number": "302-831-8893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIGGINS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "ATC, PT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2020-07-03",
"certification_date": "2020-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "VA",
"license": "2305003798",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MD",
"license": "16418",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "DE",
"license": "1016",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J30000104",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.