Michael Trent O'Neal Jr., ATC, SCAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

743 Issued in SC

Practice address

104 Saluda Pointe Dr
Lexington, SC 29072-7295

Phone

(803) 227-8155

Fax

(803) 227-8221

NPI assigned

Aug 24, 2010

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1164738506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 LONG NEEDLE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299461",
            "telephone_number": "803-521-1376",
            "fax_number": "803-227-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SALUDA POINTE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727295",
            "telephone_number": "803-227-8155",
            "fax_number": "803-227-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "MICHAEL",
        "middle_name": "TRENT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC, SCAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nunn
• Conor O'Callaghan, RBT
• Patrick M O'Malley, MD
• Holly O'Mara
• Carlos O'Neal, PT
• Linda W O'Neill, LMSW
• Trisha O'Toole, RN
• Chinyere Obiora
• Donna Lee Odaniel, CPSS
• Adrian L. Odom, MA, ADC

• Athletic Trainer in Lexington, SC
• Providers in Lexington, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.