Individual provider Active NPI

Stephen Twilleager, ATC, LAT

  • Athletic Trainer
  • Belton, TX
National Provider Identifier
1235538265
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT6301 Issued in TX
Practice address
900 College St # 8011
Belton, TX 76513-2578
Phone
(254) 295-5034
Fax
(254) 295-5027
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT6301 TX Primary

Addresses

Primary practice location

900 College St # 8011
Belton, TX 76513-2578

Mailing address

1400 Sayles Blvd
MCM Station Box 188
Abilene, TX 79697
Phone (254) 702-4913

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
AT6301TXMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University of Mary Hardin-Baylor Athletic Trainer Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235538265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SAYLES BLVD",
            "address_2": "MCM STATION BOX 188",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79697",
            "telephone_number": "254-702-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COLLEGE ST # 8011",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132578",
            "telephone_number": "254-295-5034",
            "fax_number": "254-295-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWILLEAGER",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.