Individual provider Active NPI

Tracy Lynn Littelmann, MS ATC

  • Athletic Trainer
  • Montgomery, OH
National Provider Identifier
1982982211
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT 001433 Issued in OH
Practice address
6200 Pfeiffer Rd
Montgomery, OH 45242-5862
Phone
(513) 985-6722
Fax
(513) 985-0918
NPI assigned
Aug 3, 2011
Last updated
Aug 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT 001433 OH Primary

Addresses

Primary practice location

6200 Pfeiffer Rd
Montgomery, OH 45242-5862

Mailing address

5600 Biscayne Ave
Cincinnati, OH 45248-4256
Phone (513) 598-8960

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT 001433OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1982982211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BISCAYNE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452484256",
            "telephone_number": "513-598-8960",
            "fax_number": "513-985-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PFEIFFER RD",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452425862",
            "telephone_number": "513-985-6722",
            "fax_number": "513-985-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTELMANN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT 001433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.