Jacob Schultz

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

350 Squirrel Drive
State College,, PA 16801

Phone

(815) 954-3636

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1538998380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 CALHOUN ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501710",
            "telephone_number": "815-954-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SQUIRREL DRIVE",
            "city": "STATE COLLEGE,",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "815-954-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Alexander Schneider, PHARMD
• Meagan Rae Schneiderman
• Jack D Schocker, MD
• Maya Hecksel Schoonover, AU.D.
• Joseph Robert Schuchert, DMD
• Brian W Schulz, PT
• Rachel L Schwab, MD
• Carrie Schwartz, MA, NCC, LPC
• Natalie Cordell Schwer, MHS, PA-C
• Jeffery Robert Scipione, D.C

• Athletic Trainer in State College, PA
• Providers in State College, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.