Misty Lynn Motter, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003559 Issued in PA

Practice address

319 S Market St
New Wilmington, PA 16172-0002

Phone

(724) 971-6094

Fax

(724) 946-6297

NPI assigned

Apr 23, 2014

Last updated

Apr 23, 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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1639599111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SMALLS FERRY RD",
            "city": "ENON VALLEY",
            "state": "PA",
            "postal_code": "161201324",
            "telephone_number": "724-971-6094",
            "fax_number": "724-946-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MARKET ST",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161720002",
            "telephone_number": "724-971-6094",
            "fax_number": "724-946-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTER",
        "first_name": "MISTY",
        "middle_name": "LYNN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Wilmington Family Medicine Associates P C
• New Wilmington Psychotherapy & Counseling
• New Wilmington Rehabilitation & Nursing LLC (Kadima Rehabilitation & Nursing at New Wilmington)
• New Wilmington Volunteer Firemens Association (New Wilmington Rescue)
• Angela D Nicastro, PAC

• Athletic Trainer in New Wilmington, PA
• Providers in New Wilmington, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.