Paul Joseph Osterman, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1636 Issued in MN

Practice address

700 Luther Dr
Mankato, MN 56001-6163

Phone

(507) 344-7406

NPI assigned

Apr 11, 2007

Last updated

Sep 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1942423504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LUTHER DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016163",
            "telephone_number": "507-344-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LUTHER DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016163",
            "telephone_number": "507-344-7406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Marsh St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560014752",
            "country_code": "US",
            "telephone_number": "507-594-6836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTERMAN",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen M Ortloff, MA LP
• Lacy Osborne, LICSW
• Daniel M. Osdoba, D.D.S.
• Gretchen M Osdoba, DDS
• Osman Osman
• Danielle Oswald, MS, BCBA
• Douglas Wade Otopalik, DDS
• David Alan Otto, D.C.
• Hannah Marie Oudekerk
• Saul Ovalle, D.D.S., M.S.

• Athletic Trainer in Mankato, MN
• Providers in Mankato, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.