Active NPI
Alyssa Sotomayor, MS, LAT, ATC
- Athletic Trainer
- Anderson, SC
National Provider Identifier
1376901934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1499
- Practice address
- 806 Old Pearman Dairy Rd
Anderson, SC 29625-9998 - Phone
- (864) 260-5230
- NPI assigned
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL 3118 | FL | |
| Athletic Trainer | 2255A2300X | 1499 | SC | Primary |
Addresses
Primary practice location
806 Old Pearman Dairy Rd
Anderson, SC 29625-9998
Mailing address
806 Old Pearman Dairy Rd
Anderson, SC 29625-9998
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL 3118 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1376901934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 OLD PEARMAN DAIRY RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296259998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 OLD PEARMAN DAIRY RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296259998",
"telephone_number": "864-260-5230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOMAYOR",
"first_name": "ALYSSA",
"name_prefix": "Ms.",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 3118",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "1499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.