Individual provider Active NPI

Lindsay Schruhl, ATC LAT

  • Athletic Trainer
  • Perry Hall, MD
National Provider Identifier
1205252608
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
A0000415 Issued in MD
Practice address
5009 Honeygo Center Dr
Suite 209
Perry Hall, MD 21128-9828
Phone
(443) 910-8010
Fax
(443) 725-2155
NPI assigned
Mar 10, 2014
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A0000415 MD Primary
Athletic Trainer 2255A2300X RT005308 PA

Addresses

Primary practice location

5009 Honeygo Center Dr
Suite 209
Perry Hall, MD 21128-9828

Mailing address

5009 Honeygo Center Dr
Suite 209
Perry Hall, MD 21128-9828
Phone (443) 910-8010

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

LicenseStateTypeSpecialty
A0000415MDMDAthletic Trainer
RT005308PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1205252608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR",
            "address_2": "SUITE 209",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289828",
            "telephone_number": "443-910-8010",
            "fax_number": "443-725-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 HONEYGO CENTER DR",
            "address_2": "SUITE 209",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289828",
            "telephone_number": "443-910-8010",
            "fax_number": "443-725-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRUHL",
        "first_name": "LINDSAY",
        "credential": "ATC LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000415",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.