Active NPI
David Lee Schultz, MS, ATC
- Athletic Trainer
- Skaneateles, NY
National Provider Identifier
1407033236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001387-1
- Practice address
- 791 W Genesee Street Rd
Skaneateles, NY 13152-9377 - Phone
- (315) 685-7544
- NPI assigned
- Jan 23, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 001387-1 | NY | Primary |
Addresses
Primary practice location
791 W Genesee Street Rd
Skaneateles, NY 13152-9377
Mailing address
4338 Strickland Dr
Syracuse, NY 13215-1371
Phone (315) 396-0344
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 |
|---|---|---|---|
| 001387-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1407033236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4338 STRICKLAND DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132151371",
"telephone_number": "315-396-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 W GENESEE STREET RD",
"city": "SKANEATELES",
"state": "NY",
"postal_code": "131529377",
"telephone_number": "315-685-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "DAVID",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001387-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skaneateles, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.