Active NPI
Samuel Sorrell, LAT, ATC
- Athletic Trainer
- Manvel, TX
National Provider Identifier
1487177952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT4664
- Practice address
- 19601 Highway 6
Manvel, TX 77578-3707 - Phone
- (281) 245-2629
- NPI assigned
- Jul 17, 2017
- Last updated
- Jul 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | AT4664 | TX | Primary |
Addresses
Primary practice location
19601 Highway 6
Manvel, TX 77578-3707
Mailing address
2009 Pleasant Valley Rd
Pearland, TX 77581-1427
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT4664 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1487177952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 PLEASANT VALLEY RD",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775811427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19601 HIGHWAY 6",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783707",
"telephone_number": "281-245-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRELL",
"first_name": "SAMUEL",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-17",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT4664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manvel, TX
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- Marquita Smith, NURSE PRACTITIONER
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- Special Graces LLC
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- Mark A Stearns, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.