Individual provider Active NPI

Michael Higgins, ATC, PT, CSCS

  • Athletic Trainer
  • Charlottesville, VA
National Provider Identifier
1871587675
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126002711 Issued in VA
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

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
16418MDMDPharmacist
1016DEMDSports Physical Therapist
2305003798VAMDSports Physical Therapist
J30000104DEMDAthletic Trainer
0126002711VAMDAthletic 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.

Verify at the official NPI Registry.