Patricia A Edinger, M.ED., ATC, EMT
Individual provider Active NPI Athletic Trainer · Gwynedd Valley, PA
NPI 1639144397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639144397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT002242A (PA)
- Practice address
- 1325 Sumneytown Pike
Gwynedd Valley, PA 19437-0901 - Phone
- (215) 646-7300
- Fax
- (215) 542-4683
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Emergency Medical Technician, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00139400 | NJ | MD | Athletic Trainer |
| RT002242A | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT002242A | PA | Yes |
| Athletic Trainer | 2255A2300X | 25MT00139400 | NJ |
Addresses
Primary practice location
1325 Sumneytown Pike
Gwynedd Valley, PA 19437-0901
Mailing address
3646 Valley Meadow Dr
Bensalem, PA 19020-4714
Phone (267) 934-5696
Other providers in Gwynedd Valley, PA
- Jay K. Cherney
- Gwynedd Mercy Academy High School
- Mercedes Angelique Himmons
- Kristyn Holmes
- Tedd Koren
- Patrick Thomas Martin
All providers in Gwynedd Valley, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.