Active NPI
Michael Simon Thomas, PT, DPT, ATC, CSCS
- Athletic Trainer
- Owings Mills, MD
National Provider Identifier
1962065011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RTO000249
- Practice address
- 1 Winning Dr
Owings Mills, MD 21117-4776 - Phone
- (570) 690-0058
- NPI assigned
- Apr 15, 2019
- 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 | RTO000249 | PA | Primary |
Addresses
Primary practice location
1 Winning Dr
Owings Mills, MD 21117-4776
Mailing address
1 Winning Dr
Owings Mills, MD 21117-4776
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 |
|---|---|---|---|
| RTO000249 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1962065011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WINNING DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WINNING DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174776",
"telephone_number": "570-690-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHAEL",
"middle_name": "SIMON",
"credential": "PT, DPT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RTO000249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.