Mary Runyon, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

225 Munn Rd E
Fort Mill, SC 29715-9497

Phone

(803) 548-9700

NPI assigned

Jul 12, 2012

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1649535923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BUNGALOW DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MUNN RD E",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297159497",
            "telephone_number": "803-548-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYON",
        "first_name": "MARY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Ann Rosebrock, FNP
• Kristy Rossi
• Holley Rowland
• Melinda Rozear, RBT
• Carlton D Rucker, DDS
• Rudiko Rusia, MD
• Hannah L Russell, PHARMD
• Brandi Bence Ruth, BCBA
• Kelly Williams Rydell, FNP
• Bailey Sage, RBT

• Athletic Trainer in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.