Scott Bordignon, MS, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002133 Issued in VA

Practice address

2807 N Glebe Rd
Department of Athletics
Arlington, VA 22207-4224

Phone

(610) 908-9614

NPI assigned

Apr 18, 2014

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

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Marymount University

  • Adult Medicine Physician
  • Arlington, VA
  • NPI 1215522297
  NPD (past)

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1477973360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 N GLEBE RD",
            "address_2": "DEPARTMENT OF ATHLETICS",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222074224",
            "telephone_number": "610-908-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N GLEBE RD",
            "address_2": "DEPARTMENT OF ATHLETICS",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222074224",
            "telephone_number": "610-908-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDIGNON",
        "first_name": "SCOTT",
        "credential": "MS, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS ASSOCIATION - ATC",
            "identifier": "39840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS ASSOCIATION BOARD OF CERTIFICATION - ATC",
            "identifier": "2000006599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL STRENGTH AND CONDITIONING ASSOCIATION - CSCS",
            "identifier": "201173394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE AS AN ATHLETIC TRAINER - STATE BOARD OF MEDICINE",
            "identifier": "RT005079",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE AS AND ATHLETIC TRAINER - BOARD OF MEDICINE",
            "identifier": "0126002133",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Booth
• Lynanne Helen Bopp
• Megan Rose Borak, DDS
• Erin Diane Borda, PT
• Elahe Bordbar, MD
• Lori E Borg, NP
• Philip Borges, MD
• Sonja Britt Borgstrom, MD, MPH
• Kathryn Born, M.D.
• Lillibeth B Boruchow, MD

• Athletic Trainer in Arlington, VA
• Providers in Arlington, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.