Individual provider Active NPI

Michelle Austin Rawlyk, ATC

  • Athletic Trainer
  • Myrtle Beach, SC
National Provider Identifier
1114429867
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
5310 N Ocean Blvd Unit 501
Myrtle Beach, SC 29577-2531
Phone
(804) 683-7363
NPI assigned
Mar 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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 Primary

Addresses

Primary practice location

5310 N Ocean Blvd Unit 501
Myrtle Beach, SC 29577-2531

Mailing address

5310 N Ocean Blvd Unit 501
Myrtle Beach, SC 29577-2531
Phone (804) 683-7363

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

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1114429867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 N OCEAN BLVD UNIT 501",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772531",
            "telephone_number": "804-683-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 N OCEAN BLVD UNIT 501",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772531",
            "telephone_number": "804-683-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLYK",
        "first_name": "MICHELLE",
        "middle_name": "AUSTIN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.