Scott Robert Stansbury, MA, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0001401 Issued in MD

Practice address

1101 Camden Ave
Salisbury, MD 21801-6860

Phone

(410) 543-6355

Fax

(574) 631-3305

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1649243817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 SHORE BREAK LN APT 103",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218112991",
            "telephone_number": "574-340-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 CAMDEN AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016860",
            "telephone_number": "410-543-6355",
            "fax_number": "574-631-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBURY",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MA, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "IN",
            "license": "36001465A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0001401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Sroka
• St Paul Place Specialists, Inc.
• Kristie St Pierre, SLP
• Norman Shawn Stack, PTA
• Lindsay Britt Stallings
• Ara J. Stanton, DDS
• William J Stanton, CRNA
• Eliza A Stayton, SLP
• Debbie A. Steele-Moore, O.D.
• Rachael Amanda Steelman

• Athletic Trainer in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.