Individual provider Active NPI

Scott Patrick Mastrobattista, MSED, ATC

  • Athletic Trainer
  • Niagara University, NY
National Provider Identifier
1457311383
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000243-1 Issued in NY
Practice address
Niagara University
Niagara University, NY 14109
Phone
(716) 286-8642
Fax
(716) 286-8656
NPI assigned
Mar 24, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000243-1 NY Primary

Addresses

Primary practice location

Niagara University
Niagara University, NY 14109

Mailing address

6432 White Oak Way
Lakeview, NY 14085-9573
Phone (716) 627-5754

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
000243-1NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457311383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 WHITE OAK WAY",
            "city": "LAKEVIEW",
            "state": "NY",
            "postal_code": "140859573",
            "telephone_number": "716-627-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIAGARA UNIVERSITY",
            "city": "NIAGARA UNIVERSITY",
            "state": "NY",
            "postal_code": "14109",
            "telephone_number": "716-286-8642",
            "fax_number": "716-286-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROBATTISTA",
        "first_name": "SCOTT",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MSED, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000243-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara University, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.