Active NPI
Sara Spencer, ATC
- Athletic Trainer
- Richmond, VA
National Provider Identifier
1174913149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002898
- Practice address
- 365 College Rd RM 155
Richmond, VA 23173-7364 - Phone
- (828) 729-1552
- NPI assigned
- Jan 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001342 | WV | |
| Athletic Trainer | 2255A2300X | 0126002898 | VA | Primary |
Addresses
Primary practice location
365 College Rd RM 155
Richmond, VA 23173-7364
Mailing address
5755 Rocky Mount Rd
Granite Falls, NC 28630-8308
Phone (828) 729-1552
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 |
|---|---|---|---|
| 0126002898 | VA | MD | Athletic Trainer |
| 001342 | WV | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1174913149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 ROCKY MOUNT RD",
"city": "GRANITE FALLS",
"state": "NC",
"postal_code": "286308308",
"telephone_number": "828-729-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 COLLEGE RD RM 155",
"city": "RICHMOND",
"state": "VA",
"postal_code": "231737364",
"telephone_number": "828-729-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "SARA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WV",
"license": "001342",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.