Individual provider Active NPI

Bryan Schwabrow, ATC, LAT

  • Athletic Trainer
  • Ravena, NY
National Provider Identifier
1649106063
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
18 Magnolia Cir
Ravena, NY 12143-1722
Phone
(518) 502-4520
NPI assigned
Jun 23, 2026
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X NY Primary

Addresses

Primary practice location

18 Magnolia Cir
Ravena, NY 12143-1722

Mailing address

18 Magnolia Cir
Ravena, NY 12143-1722

Other practice location 1

148 Central Ave
Keuka Park, NY 14478-9774
Phone (315) 279-5725

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

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1649106063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAGNOLIA CIR",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "121431722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAGNOLIA CIR",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "121431722",
            "telephone_number": "518-502-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Keuka Park",
            "state": "NY",
            "postal_code": "144789774",
            "country_code": "US",
            "telephone_number": "315-279-5725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWABROW",
        "first_name": "BRYAN",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.