Active NPI
James O'Leary, ATC
- Athletic Trainer
- Lorain, OH
National Provider Identifier
1982155727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 911
- Practice address
- 5800 Cooper Foster Park Rd W
Lorain, OH 44053-4131 - Phone
- (440) 204-7800
- NPI assigned
- Oct 17, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 911 | OH | Primary |
Addresses
Primary practice location
5800 Cooper Foster Park Rd W
Lorain, OH 44053-4131
Mailing address
3488 Bellflower Dr
Lorain, OH 44053-2182
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 |
|---|---|---|---|
| 911 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1982155727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3488 BELLFLOWER DR",
"city": "LORAIN",
"state": "OH",
"postal_code": "440532182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 COOPER FOSTER PARK RD W",
"city": "LORAIN",
"state": "OH",
"postal_code": "440534131",
"telephone_number": "440-204-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "JAMES",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.