Individual provider Active NPI

Thomas Clayton Orr, ATC

  • Athletic Trainer
  • Alamosa, CO
National Provider Identifier
1902585615
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000053407
Practice address
Plachy Hall, 97 Stadium Dr
Alamosa, CO 81101
Phone
(303) 947-9394
NPI assigned
Jul 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000053407 Primary

Addresses

Primary practice location

Plachy Hall, 97 Stadium Dr
Alamosa, CO 81101

Mailing address

908 Douglas Dr
Alamosa, CO 81101
Phone (303) 947-9394

Other identifiers 1

IdentifierTypeStateIssuer
2000053407OtherBOARD OF CERTIFICATION OF THE ATHLETIC TRAINER

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

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1902585615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 DOUGLAS DR",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "303-947-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLACHY HALL, 97 STADIUM DR",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "303-947-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "THOMAS",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000053407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION OF THE ATHLETIC TRAINER",
            "identifier": "2000053407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.