Active NPI
Lydia Grace Binder, ATC
- Athletic Trainer
- Tigerville, SC
National Provider Identifier
1124639208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- SC507686
- Practice address
- 7801 N Tigerville Rd
Tigerville, SC 29688-9700 - Phone
- (864) 907-7590
- NPI assigned
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | SC507686 | SC | Primary |
Addresses
Primary practice location
7801 N Tigerville Rd
Tigerville, SC 29688-9700
Mailing address
PO Box 216
Tigerville, SC 29688-0216
Phone (864) 907-7590
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 |
|---|---|---|---|
| SC507686 | SC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1124639208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 216",
"city": "TIGERVILLE",
"state": "SC",
"postal_code": "296880216",
"telephone_number": "864-907-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7801 N TIGERVILLE RD",
"city": "TIGERVILLE",
"state": "SC",
"postal_code": "296889700",
"telephone_number": "864-907-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINDER",
"first_name": "LYDIA",
"middle_name": "GRACE",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "SC507686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.