Glenn R Schwab, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT2559 Issued in TX

Practice address

1001 E University Ave
Georgetown, TX 78626-6100

Phone

(512) 863-1697

Fax

(512) 863-1393

NPI assigned

Dec 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1215442116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786270770",
            "telephone_number": "512-863-1697",
            "fax_number": "512-683-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266100",
            "telephone_number": "512-863-1697",
            "fax_number": "512-863-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "GLENN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Schoppa, RPH
• Susan Maria Schreffler, M.D.
• Jana Jones Schrier, M.D.
• Candice Sandra Schrodetzki, APRN
• Brianne Kerry Schroeder, DC; MSACN
• Nancy J. Schwab, PHD, RN, ANP
• Belinda C Schwertner, M.D.
• Richard Juan Scilabro III, DMD
• Harold D. Scott, M.D.
• Shannon Melissa Scriven, OTR

• Athletic Trainer in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.