Active NPI
Robert Joseph Sandmann, M ED., ATC, LAT
- Athletic Trainer
- Grapevine, TX
National Provider Identifier
1730154923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT1471
- Practice address
- 4100 Heritage Ave
Grapevine, TX 76051-5714 - Phone
- (817) 540-4477
- Fax
- (817) 510-0188
- NPI assigned
- Feb 21, 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 | AT1471 | TX | Primary |
Addresses
Primary practice location
4100 Heritage Ave
Grapevine, TX 76051-5714
Mailing address
9012 Dry Creek Dr
Ft Worth, TX 76244
Phone (817) 480-5417
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT1471 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1730154923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9012 DRY CREEK DR",
"city": "FT WORTH",
"state": "TX",
"postal_code": "76244",
"telephone_number": "817-480-5417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 HERITAGE AVE",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760515714",
"telephone_number": "817-540-4477",
"fax_number": "817-510-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDMANN",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "M ED., ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT1471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.