Michael Shawn Porter, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT-000866-A Issued in PA

Practice address

401 Susquehanna Ave
Lock Haven University
Lock Haven, PA 17745

Phone

(570) 893-2197

NPI assigned

Oct 23, 2006

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

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992888770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 DRY RUN RD",
            "city": "BEECH CREEK",
            "state": "PA",
            "postal_code": "168228028",
            "telephone_number": "570-726-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SUSQUEHANNA AVE",
            "address_2": "LOCK HAVEN UNIVERSITY",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "17745",
            "telephone_number": "570-893-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MICHAEL",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT-000866-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Piergallini, M.D.
• Frank A Piro, MD
• Pleasant Valley Family Medicine P.C.
• Brittany Plummer, ATC, LAT
• Lucas Porter
• Powers Credx
• Marcus D Powers, MD
• Richard Powers III, MS, DC
• Richard Lee Powers II, DDS
• Praful U. Bhatt, MD

• Athletic Trainer in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.