Individual provider Active NPI

Evan Schreyer, LAT, ATC

  • Athletic Trainer
  • Indiana, PA
National Provider Identifier
1518595586
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
660 S 11TH Street
Indiana, PA 15705-0001
Phone
(724) 357-2100
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Primary

Addresses

Primary practice location

660 S 11TH Street
Indiana, PA 15705-0001

Mailing address

1306 Jackson Ave
Windber, PA 15963-1716
Phone (814) 248-0377

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL schreyerevan@gmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1518595586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 JACKSON AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631716",
            "telephone_number": "814-248-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 11TH STREET",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157050001",
            "telephone_number": "724-357-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREYER",
        "first_name": "EVAN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "schreyerevan@gmail.com",
            "affiliation": "N",
            "address_1": "660 S 11th Street",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.