Craig Elliott Pfeifer, PHD, ATC, FHEA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

139 Crevalle Rd
Rotonda West, FL 33947-2855

Phone

(410) 652-4166

NPI assigned

Oct 16, 2012

Last updated

Oct 12, 2023By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1780937789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 EMERALD AVE",
            "city": "ST JAMES CITY",
            "state": "FL",
            "postal_code": "339562205",
            "telephone_number": "410-652-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CREVALLE RD",
            "city": "ROTONDA WEST",
            "state": "FL",
            "postal_code": "339472855",
            "telephone_number": "410-652-4166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BEAUCHAMP COURT COTTAGE",
            "address_2": "Beauchamp Lane",
            "address_purpose": "LOCATION",
            "city": "CALLOW END",
            "state": "United Kingdom",
            "postal_code": "WR2 4UQ",
            "country_code": "GB",
            "telephone_number": "410-652-4166",
            "country_name": "Great Britain",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "CRAIG",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC, FHEA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1327",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000078",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER",
            "identifier": "2000002752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Rotonda West, FL
• Providers in Rotonda West, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.