Andrew Sufficool, ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1307 Issued in NC

Practice address

135 Jack Branch Dr
Boone, NC 28608-0001

Phone

(828) 262-6265

NPI assigned

Mar 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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

• Appalachian State University

  dba Appalachian State Athletic Training and Physical Therapy Services

  • Physical Therapy Clinic/Center
  • Boone, NC
  • NPI 1285989632
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356461149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MEADOWVIEW DR",
            "address_2": "APT 609",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075212",
            "telephone_number": "828-262-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 JACK BRANCH DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286080001",
            "telephone_number": "828-262-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFFICOOL",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "ATC,LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Strong, MSW, LCSW-A, LCAS-A
• Anita F Stroupe, LCSW
• Sherida Ann Stroyek, OTRL
• Cassandra Lynn Stull, MPAS, PA-C
• Kyler Bridgeman Sudhoff
• Daniel Joseph Sullivan, O.D.
• Margaret Christine-Marie Sullivan
• Rebecca A Summerford, LPT
• Jamie D Summerlin
• Brett Summey Jr., M.D.

• Athletic Trainer in Boone, NC
• Providers in Boone, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.