Active NPI
Russell Andrew Sadberry, ATC, LAT
- Athletic Trainer
- Katy, TX
National Provider Identifier
1699931980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1225
- Practice address
- 6331 Highway Blvd
Katy, TX 77494-1107 - Phone
- (281) 237-1922
- Fax
- (281) 644-1700
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | AT1225 | TX | Primary |
Addresses
Primary practice location
6331 Highway Blvd
Katy, TX 77494-1107
Mailing address
6331 Highway Blvd
Katy, TX 77494-1107
Phone (281) 237-1922
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 |
|---|---|---|---|
| AT1225 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1699931980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6331 HIGHWAY BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774941107",
"telephone_number": "281-237-1922",
"fax_number": "281-644-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6331 HIGHWAY BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774941107",
"telephone_number": "281-237-1922",
"fax_number": "281-644-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADBERRY",
"first_name": "RUSSELL",
"middle_name": "ANDREW",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT1225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.