Active NPI
Kent C Scriber, EDD, ATC, PT
- Athletic Trainer
- Ithaca, NY
National Provider Identifier
1669532859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000118-1
- Practice address
- 14 Hill Rd
Ithaca College
Ithaca, NY 14850-8629 - Phone
- (607) 274-3178
- Fax
- (607) 274-1943
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000118-1 | NY | Primary |
Addresses
Primary practice location
14 Hill Rd
Ithaca College
Ithaca, NY 14850-8629
Mailing address
85 Gunderman Rd
Ithaca, NY 14850-8624
Phone (607) 272-1782
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000118-1 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669532859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 GUNDERMAN RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508624",
"telephone_number": "607-272-1782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 HILL RD",
"address_2": "ITHACA COLLEGE",
"city": "ITHACA",
"state": "NY",
"postal_code": "148508629",
"telephone_number": "607-274-3178",
"fax_number": "607-274-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRIBER",
"first_name": "KENT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "EDD, ATC, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000118-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.