Taylor Ballenger, SCAT, ATC
Individual provider Active NPI Athletic Trainer · Columbia, SC
NPI 1184393142 · NPPES record last updated Jan 7, 2024
Key facts
- NPI
- 1184393142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2000051712 (SC)
- Practice address
- 1300 Wheat St
Columbia, SC 29201-4347 - Phone
- (803) 777-0636
- NPI assigned
- Sep 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000051712 | SC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000051712 | SC | Yes |
Addresses
Primary practice location
1300 Wheat St
Columbia, SC 29201-4347
Mailing address
250 Crossbow Dr Apt M24
Columbia, SC 29212-0717
Phone (412) 327-6952
Other providers in Columbia, SC
- Laura Balfour
- Aubrey Ball
- Makayla Ball
- Julia B Ballance
- Dwight Davis Ballard
- Brittany Ballentine
- Isaac Diego Ballesteros
- C L Ballew
- Tiffany Ballington
- Amy Furmanski Ballou
All providers in Columbia, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.