Individual provider Active NPI

Samantha J Machnik, ATC, PES, SES

  • Athletic Trainer
  • Springdale, PA
National Provider Identifier
1114190766
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT004168 Issued in PA
Practice address
501 Butler Rd
Springdale, PA 15144-1298
Phone
(724) 274-5300
NPI assigned
Apr 3, 2008
Last updated
Apr 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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 RT004168 PA Primary

Addresses

Primary practice location

501 Butler Rd
Springdale, PA 15144-1298

Mailing address

3200 S. Water St
Pittsburgh, PA 15203

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

LicenseStateTypeSpecialty
RT004168PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1114190766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S. WATER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BUTLER RD",
            "city": "SPRINGDALE",
            "state": "PA",
            "postal_code": "151441298",
            "telephone_number": "724-274-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHNIK",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "ATC, PES, SES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.