Active NPI
Donald Mark Rackey, ATC
- Athletic Trainer
- Gilbert, AZ
National Provider Identifier
1922260603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0502
- Practice address
- 2451 E Baseline Rd
# 220
Gilbert, AZ 85234-2471 - Phone
- (480) 892-2121
- NPI assigned
- Jun 25, 2008
- Last updated
- Jun 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | 0502 | AZ | Primary |
Addresses
Primary practice location
2451 E Baseline Rd
# 220
Gilbert, AZ 85234-2471
Mailing address
1442 N Cliffside Dr
Gilbert, AZ 85234-2659
Phone (480) 892-2121
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 |
|---|---|---|---|
| 0502 | AZ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & J Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1922260603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1442 N CLIFFSIDE DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342659",
"telephone_number": "480-892-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 E BASELINE RD",
"address_2": "# 220",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342471",
"telephone_number": "480-892-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACKEY",
"first_name": "DONALD",
"middle_name": "MARK",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.