Kaitlin Elizabeth Bottorf, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT005889 Issued in PA

Practice address

596 Heltman Rd
Mill Hall, PA 17751-9032

Phone

(570) 295-2127

NPI assigned

Dec 1, 2014

Last updated

Dec 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1629475082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 HELTMAN RD",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177519032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 HELTMAN RD",
            "city": "MILL HALL",
            "state": "PA",
            "postal_code": "177519032",
            "telephone_number": "570-295-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTORF",
        "first_name": "KAITLIN",
        "middle_name": "ELIZABETH",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Caprio

• Athletic Trainer in Mill Hall, PA
• Providers in Mill Hall, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.