John Mitchell Bruketa, ATC, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

215 W Bowery St Ste 7300
Akron, OH 44308-1020

Phone

(330) 543-8260

NPI assigned

Sep 5, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891196200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST BOWERY STREET, SUITE 7300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44308",
            "telephone_number": "330-543-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BOWERY ST STE 7300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081020",
            "telephone_number": "330-543-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1972 Clark Ave",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446013929",
            "country_code": "US",
            "telephone_number": "216-308-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUKETA",
        "first_name": "JOHN",
        "middle_name": "MITCHELL",
        "credential": "ATC, AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacie Marie Brubaker, LPCC
• Lilia Brubaker, LPCC
• Mary E Bruce, PA
• Curtis Lee Bruckelmyer
• Thomas E Bruderly, DO
• Jessica Brumbaugh
• Chelise Brumfield
• Andrea Brumley, CT
• Laura Susan Bruneau, PC
• Christa Brunelle, CDCA

• Athletic Trainer in Akron, OH
• Providers in Akron, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.