Robert George Spertzel, M.S.,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT000517A Issued in PA

Practice address

104 Schofield Dr
East Berlin, PA 17316-9336

Phone

(717) 259-0382

NPI assigned

Feb 15, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124161658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SCHOFIELD DR",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169336",
            "telephone_number": "717-259-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SCHOFIELD DR",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169336",
            "telephone_number": "717-259-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERTZEL",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "credential": "M.S.,ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT000517A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylie Pierce, CPHT
• Pinnacle Health Medical Services (UPMC Primary Care East Berlin)
• Austin Neil Pritchard, LMFT
• Maria E Renteria
• Nicholas Rymarowicz
• Tracy Lee Consulting, LLC
• Walters Chiropractic, P.C.
• Shannon Renae Walters, D.C.
• Elaine Marie Walton, LPN
• Randal B. Walton, LMT

• Athletic Trainer in East Berlin, PA
• Providers in East Berlin, 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.