Active NPI
Seth M Robbins, MED, ATC, CSCS, EMT
- Athletic Trainer
- North Wales, PA
National Provider Identifier
1700163615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 019502410
- Practice address
- 1105 Avenel Blvd
North Wales, PA 19454-3942 - Phone
- (267) 688-2388
- NPI assigned
- Nov 5, 2011
- Last updated
- Nov 5, 2011
- 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 | 019502410 | PA | Primary |
Addresses
Primary practice location
1105 Avenel Blvd
North Wales, PA 19454-3942
Mailing address
1105 Avenel Blvd
North Wales, PA 19454-3942
Phone (267) 688-2388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 | Medicaid | PA |
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
- Credentials
- Emergency Medical Technician, Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019502410 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320451200000",
"number": "1700163615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 AVENEL BLVD",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194543942",
"telephone_number": "267-688-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 AVENEL BLVD",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194543942",
"telephone_number": "267-688-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBBINS",
"first_name": "SETH",
"middle_name": "M",
"credential": "MED, ATC, CSCS, EMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-05",
"last_updated": "2011-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "019502410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.