Active NPI
Shannon Marie Terwilliger, ATHLETIC TRAINER
- Athletic Trainer
- Sardinia, OH
National Provider Identifier
1114996501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT002318
- Practice address
- 7109 Bachman Rd
Sardinia, OH 45171-8242 - Phone
- (937) 446-3500
- Fax
- (937) 446-3559
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT002318 | OH | Primary |
Addresses
Primary practice location
7109 Bachman Rd
Sardinia, OH 45171-8242
Mailing address
4701 Creek Rd
Suite 110
Blue Ash, OH 45242-8398
Phone (513) 733-9333
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT002318 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1114996501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 CREEK RD",
"address_2": "SUITE 110",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452428398",
"telephone_number": "513-733-9333",
"fax_number": "513-588-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7109 BACHMAN RD",
"city": "SARDINIA",
"state": "OH",
"postal_code": "451718242",
"telephone_number": "937-446-3500",
"fax_number": "937-446-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERWILLIGER",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "ATHLETIC TRAINER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT002318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sardinia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.