Active NPI
Justin Rothschild, ATC
- Athletic Trainer
- North Miami Beach, FL
National Provider Identifier
1902163074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL 1411
- Practice address
- 2601 NE 151St St
North Miami Beach, FL 33160-4653 - Phone
- (786) 512-6448
- Fax
- (305) 919-2001
- NPI assigned
- Apr 13, 2012
- 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 | AL 1411 | FL | Primary |
Addresses
Primary practice location
2601 NE 151St St
North Miami Beach, FL 33160-4653
Mailing address
PO Box 630264
Miami, FL 33163-0264
Phone (786) 512-6448
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 |
|---|---|---|---|
| AL 1411 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1902163074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 630264",
"city": "MIAMI",
"state": "FL",
"postal_code": "331630264",
"telephone_number": "786-512-6448",
"fax_number": "305-919-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 NE 151ST ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331604653",
"telephone_number": "786-512-6448",
"fax_number": "305-919-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHSCHILD",
"first_name": "JUSTIN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 1411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.