Active NPI
James Jonathan Pratt, MS, ATC, OTC
- Athletic Trainer
- South Lake Tahoe, CA
National Provider Identifier
1891943528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001492
- Practice address
- 1139 3Rd St
South Lake Tahoe, CA 96150-3465 - Phone
- (530) 541-3100
- NPI assigned
- Sep 6, 2008
- 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 | AT001492 | GA | Primary |
Addresses
Primary practice location
1139 3Rd St
South Lake Tahoe, CA 96150-3465
Mailing address
175 Skyline Dr
Middlebury, CT 06762-1720
Phone (203) 509-9051
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001492 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220659200000",
"number": "1891943528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 SKYLINE DR",
"city": "MIDDLEBURY",
"state": "CT",
"postal_code": "067621720",
"telephone_number": "203-509-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 3RD ST",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961503465",
"telephone_number": "530-541-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "JAMES",
"middle_name": "JONATHAN",
"credential": "MS, ATC, OTC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-06",
"last_updated": "2008-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.