Individual provider Active NPI

Abigail Butler, AT,ATC

  • Athletic Trainer
  • Mansfield, OH
National Provider Identifier
1215419213
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT006347 Issued in OH
Practice address
124 N Linden Rd
Mansfield, OH 44906-2616
Phone
(330) 458-9365
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 AT006347 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

124 N Linden Rd
Mansfield, OH 44906-2616

Mailing address

512 Forest St
Mansfield, OH 44903-2014

Other practice location 1

10401 Market Ave N
Hartville, OH 44632
Phone (330) 458-9365

Other practice location 2

6955 Hospital Dr
Dublin, OH 43016-8580
Phone (614) 566-3489

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
AT006347OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1215419213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 FOREST ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N LINDEN RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062616",
            "telephone_number": "330-458-9365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 Market Ave N",
            "address_purpose": "LOCATION",
            "city": "Hartville",
            "state": "OH",
            "postal_code": "44632",
            "country_code": "US",
            "telephone_number": "330-458-9365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6955 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168580",
            "country_code": "US",
            "telephone_number": "614-566-3489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ABIGAIL",
        "credential": "AT,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006347",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.