Bridget Spooner, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT005620 Issued in PA

Practice address

1 Alpha Dr
Athletics Sports Medicine
Elizabethtown, PA 17022-2298

Phone

(717) 361-1591

Fax

(717) 361-1135

NPI assigned

Feb 9, 2014

Last updated

Feb 9, 2014By the provider in NPPES

Sex

Female

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": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391904000000",
    "number": "1083038251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 BRADFIELD DR APT 42",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529674",
            "telephone_number": "315-854-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALPHA DR",
            "address_2": "ATHLETICS SPORTS MEDICINE",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222298",
            "telephone_number": "717-361-1591",
            "fax_number": "717-361-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "BRIDGET",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-09",
        "last_updated": "2014-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; 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.