Active NPI
Jessica Ann Sposito, ATC
- Athletic Trainer
- Altoona, PA
National Provider Identifier
1508063363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT004138
- Practice address
- 3200 Pleasant Valley Blvd
Altoona, PA 16602-4310 - Phone
- (814) 949-5900
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- 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 | RT004138 | PA | Primary |
Addresses
Primary practice location
3200 Pleasant Valley Blvd
Altoona, PA 16602-4310
Mailing address
1005 E Walton Ave
Apt 211
Altoona, PA 16602-7049
Phone (570) 279-8358
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 |
|---|---|---|---|
| RT004138 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508063363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 E WALTON AVE",
"address_2": "APT 211",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166027049",
"telephone_number": "570-279-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PLEASANT VALLEY BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024310",
"telephone_number": "814-949-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOSITO",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.