Active NPI
John Anderson, ATC, LAT
- Athletic Trainer
- Troy, AL
National Provider Identifier
1891812723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 13
- Practice address
- 3212 Stadium Towers
Veterans Drive - Troy University
Troy, AL 36082-0001 - Phone
- (334) 670-3722
- NPI assigned
- Mar 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 13 | AL | Primary |
Addresses
Primary practice location
3212 Stadium Towers
Veterans Drive - Troy University
Troy, AL 36082-0001
Mailing address
304 Murphree St
Troy, AL 36081-2115
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 |
|---|---|---|---|
| 13 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891812723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MURPHREE ST",
"city": "TROY",
"state": "AL",
"postal_code": "360812115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 STADIUM TOWERS",
"address_2": "VETERANS DRIVE - TROY UNIVERSITY",
"city": "TROY",
"state": "AL",
"postal_code": "360820001",
"telephone_number": "334-670-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JOHN",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, AL
- Coston Ward Allen, PHARM.D
- Kaleb Allen
- Taylor Allen, ATC, LAT
- Joanne Almond
- Sean Amos, ATC
- Charles G Ash, ATC
- Attentus Troy LLC (Troy Regional Medical Center)
- Attentus Troy, LLC (Troy Regional Medical Center Home Health Agency)
- Attentus Troy, LLC (A Women's Center for Obstetrics and Gynecology)
- Attentus Troy, LLC (Troy Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.