Michael Kuo, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5700 Dacy LN
Buda, TX 78610-5904

Phone

(304) 646-9171

NPI assigned

Jan 22, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1881131399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MILL ST UNIT 24104B",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667084",
            "telephone_number": "304-646-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 DACY LN",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786105904",
            "telephone_number": "304-646-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 N Main St",
            "address_2": "Box 3996",
            "address_purpose": "LOCATION",
            "city": "Cedarville",
            "state": "OH",
            "postal_code": "453148501",
            "country_code": "US",
            "telephone_number": "304-646-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUO",
        "first_name": "MICHAEL",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-22",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION",
            "identifier": "75491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Buda, TX
• Providers in Buda, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.