Micah Traw, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1754 Issued in AL

Practice address

5345 Atlanta Hwy
Montgomery, AL 36109-3323

Phone

(803) 810-2968

NPI assigned

Apr 26, 2015

Last updated

Nov 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1740677970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MAYNARD GRAYSON RD",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297109491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 ATLANTA HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093323",
            "telephone_number": "803-810-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAW",
        "first_name": "MICAH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-26",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transformative Solutions, LLC
• Shawn D. Trask, M.D
• Mary Traudt-Bowdoin, CRNP
• Travel With Care LLC (Travel With Care VIP)
• Adrienne L Travis, PHARMD
• Linda D Treadwell, NP
• Terry A Treadwell, MD
• Trellis Behavior and Learning Solutions, LLC
• William Michael Tremlett, DO
• Faith Hannah Trent, LMFT

• Athletic Trainer in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; 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.