Active NPI
Joshua Engelbrecht, MS, ATC
- Athletic Trainer
- Lewisburg, PA
National Provider Identifier
1154846913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2760
- Practice address
- 1 Dent Dr
Lewisburg, PA 17837-2005 - Phone
- (570) 577-2225
- NPI assigned
- Aug 13, 2017
- Sex
- Male
- 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 | 2760 | NY | Primary |
Addresses
Primary practice location
1 Dent Dr
Lewisburg, PA 17837-2005
Mailing address
11633 Maple Glen CT
Saint Louis, MO 63146-4253
Phone (314) 882-2853
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2760 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502582400000",
"number": "1154846913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11633 MAPLE GLEN CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464253",
"telephone_number": "314-882-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DENT DR",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178372005",
"telephone_number": "570-577-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELBRECHT",
"first_name": "JOSHUA",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-13",
"last_updated": "2017-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "2760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.