Active NPI
Andrew Robert Spadafora, DAT, LAT, ATC
- Athletic Trainer
- Lehi, UT
National Provider Identifier
1609937739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 6332462-4810
- Practice address
- 180 N 500 E
Lehi, UT 84043-1950 - Phone
- (801) 358-2224
- NPI assigned
- Dec 13, 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 | 6332462-4810 | UT | Primary |
Addresses
Primary practice location
180 N 500 E
Lehi, UT 84043-1950
Mailing address
4936 W Winter Hill LN
West Jordan, UT 84081-3925
Phone (801) 358-2224
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 |
|---|---|---|---|
| 6332462-4810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1609937739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4936 W WINTER HILL LN",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840813925",
"telephone_number": "801-358-2224",
"fax_number": "801-748-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N 500 E",
"city": "LEHI",
"state": "UT",
"postal_code": "840431950",
"telephone_number": "801-358-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADAFORA",
"first_name": "ANDREW",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "DAT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "6332462-4810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.