Paul David Rauch, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

9800106-4810 Issued in UT

Practice address

701 De Soto Street
Salt Lake City, UT 84103

Phone

(954) 632-1456

NPI assigned

Aug 24, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1932509213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 NW 133RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330283128",
            "telephone_number": "954-632-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DE SOTO STREET",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84103",
            "telephone_number": "954-632-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCH",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-24",
        "last_updated": "2016-06-06",
        "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": "UT",
            "license": "9800106-4810",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Manuel Ratmeyer, MD
• Morgan Taylor Ratte, PHARMD
• William M Rattigan, CSW
• Jennifer Rau
• Maureen Victoria Rauch
• Kirsten Rauk
• Reva P. Rauk, PT
• Eric Raustein, LAT, ATC
• Jonathan Michael Ravarino, PHD
• Raven, Lotus & Grey, PLLC

• Athletic Trainer in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.