Active NPI
Trevor Donald Engle, ATC, LAT
- Athletic Trainer
- Ames, IA
National Provider Identifier
1275174682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 092942
- Practice address
- 1921 Ames High Dr
Ames, IA 50010-5171 - Phone
- (816) 520-6372
- NPI assigned
- Oct 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 092942 | IA | Primary |
Addresses
Primary practice location
1921 Ames High Dr
Ames, IA 50010-5171
Mailing address
1316 Idaho Ave
Ames, IA 50014-3767
Phone (816) 520-6372
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
| License | State | Type | Specialty |
|---|---|---|---|
| 092942 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1275174682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 IDAHO AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500143767",
"telephone_number": "816-520-6372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 AMES HIGH DR",
"city": "AMES",
"state": "IA",
"postal_code": "500105171",
"telephone_number": "816-520-6372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLE",
"first_name": "TREVOR",
"middle_name": "DONALD",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-07",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "092942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.