Samuel Edward Messmer, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003472A Issued in IN

Practice address

326 E Main St
Jasonville, IN 47438-1510

Phone

(812) 798-9170

NPI assigned

Aug 10, 2023

Sex

Male

Sole proprietor

Yes

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.

• Shakamak Rehab Inc

  • Physical Therapy Clinic/Center
  • Jasonville, IN
  • NPI 1134996408

  Athletic Trainer

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2023.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1497438980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12504 W MIDLAND MDWS",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474415192",
            "telephone_number": "812-798-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 E MAIN ST",
            "city": "JASONVILLE",
            "state": "IN",
            "postal_code": "474381510",
            "telephone_number": "812-798-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSMER",
        "first_name": "SAMUEL",
        "middle_name": "EDWARD",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003472A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greene County General Hospital
• Greene County Health, Inc
• Jasonville SNF Opco LLC
• Ayrica S Keller
• Karin McKnight, PT
• MSD of Shakamak
• Ruth A Quinlan, QMRP
• Lisa Leann Racine, OTR
• Shakamak Family Dentistry, LLC
• Shakamak Health Inc

• All providers in Jasonville, IN
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.