Steven A Argueta-Portillo

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0001585 Issued in MD

Practice address

504 E Ridgeville Blvd Ste 107
Mount Airy, MD 21771-5942

Phone

(301) 829-6811

NPI assigned

Jun 18, 2014

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1750795688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E RIDGEVILLE BLVD STE 107",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715942",
            "telephone_number": "301-829-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E RIDGEVILLE BLVD STE 107",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715942",
            "telephone_number": "301-829-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARGUETA-PORTILLO",
        "first_name": "STEVEN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0001585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.