Active NPI
Spencer Fowler, ATC
- Athletic Trainer
- Orchard Park, NY
National Provider Identifier
1174980023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 710
- Practice address
- 1 Bills Dr
Orchard Park, NY 14127-2237 - Phone
- (913) 562-4403
- NPI assigned
- Jan 23, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 710 | NE | Primary |
Addresses
Primary practice location
1 Bills Dr
Orchard Park, NY 14127-2237
Mailing address
17559 W 158TH St
Olathe, KS 66062-6771
Phone (913) 562-4403
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453507200000",
"number": "1174980023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17559 W 158TH ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660626771",
"telephone_number": "913-562-4403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BILLS DR",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272237",
"telephone_number": "913-562-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "SPENCER",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-23",
"last_updated": "2016-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.