Individual provider Active NPI

Brittany Ann Ludwig, ATC, LAT

  • Athletic Trainer
  • Albany, MN
National Provider Identifier
1245762145
Registry record updated Apr 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
3229 Issued in MN
Practice address
30 Forest Ave
Albany, MN 56307-9503
Phone
(320) 760-9331
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

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
3229MNMDChiropractor
W263237756811MNMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X W263237756811 MN
Athletic Trainer 2255A2300X 3229 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

30 Forest Ave
Albany, MN 56307-9503

Mailing address

3104 Sundance Cir NW
Alexandria, MN 56308-9075
Phone (320) 760-9331

Other practice location 1

3104 Sundance Cir NW
Alexandria, MN 56308-9075
Phone (320) 760-9331

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2020.

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1245762145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 SUNDANCE CIR NW",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563089075",
            "telephone_number": "320-760-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FOREST AVE",
            "city": "ALBANY",
            "state": "MN",
            "postal_code": "563079503",
            "telephone_number": "320-760-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 Sundance Cir NW",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563089075",
            "country_code": "US",
            "telephone_number": "320-760-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": "W263237756811",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; 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.