Anthony Schaefer, MS, ATC, LAT, OTC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2021022672 Issued in MO

Practice address

151 Quinwood Ave
Valley Park, MO 63088-1124

Phone

(712) 304-1509

NPI assigned

Mar 14, 2019

Last updated

Nov 24, 2025By 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1568921179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 QUINWOOD AVE",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881124",
            "telephone_number": "712-304-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 QUINWOOD AVE",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881124",
            "telephone_number": "712-304-1509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Fabick Dr",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262928",
            "country_code": "US",
            "telephone_number": "636-215-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "ANTHONY",
        "credential": "MS, ATC, LAT, OTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-14",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.005933",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2021022672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Valley Park, MO
• Providers in Valley Park, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.