Angela M Spetts, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001637-1 Issued in NY

Practice address

4401 Middle Settlement Rd Ste 102
New Hartford, NY 13413-5332

Phone

(315) 735-4496

Fax

(315) 624-9213

NPI assigned

Dec 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1568792307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CHESTNUT ST",
            "address_2": "#1",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MIDDLE SETTLEMENT RD STE 102",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134135332",
            "telephone_number": "315-735-4496",
            "fax_number": "315-624-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETTS",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.