Active NPI
Jarett Rhoads, MSED., ATC, CSCS
- Athletic Trainer
- Rochester, NY
National Provider Identifier
1912411679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1051
- Practice address
- 2350 E Ridge Rd
Rochester, NY 14622-2721 - Phone
- (585) 451-9105
- NPI assigned
- Nov 16, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 1051 | NY | Primary |
Addresses
Primary practice location
2350 E Ridge Rd
Rochester, NY 14622-2721
Mailing address
23 Cayuga Rd
Canandaigua, NY 14424-1126
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": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1912411679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 CAYUGA RD",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 E RIDGE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222721",
"telephone_number": "585-451-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADS",
"first_name": "JARETT",
"name_prefix": "Mr.",
"credential": "MSED., ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "1051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.