Active NPI
Andy R Sterba, ATC/L
- Athletic Trainer
- Aurora, IL
National Provider Identifier
1508826264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096-001582
- Practice address
- 2455 Devonshire CT
Aurora, IL 60502-6362 - Phone
- (847) 321-0861
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 096-001582 | IL | Primary |
Addresses
Primary practice location
2455 Devonshire CT
Aurora, IL 60502-6362
Mailing address
2455 Devonshire CT
Aurora, IL 60502-6362
Phone (847) 321-0861
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 |
|---|---|---|---|
| 096-001582 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1508826264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 DEVONSHIRE CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605026362",
"telephone_number": "847-321-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 DEVONSHIRE CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605026362",
"telephone_number": "847-321-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERBA",
"first_name": "ANDY",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096-001582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.