Robert James Ensmenger
Individual provider Active NPI Athletic Trainer · Old Bethpage, NY
NPI 1801337290 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1801337290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 7 Beatrice LN
Old Bethpage, NY 11804-1001 - Phone
- (516) 659-0982
- NPI assigned
- Mar 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
7 Beatrice LN
Old Bethpage, NY 11804-1001
Mailing address
7 Beatrice Lane
Old Bethpage, NY 11804
Phone (516) 650-0982
Other providers in Old Bethpage, NY
- Jill Dinhofer
- Erica Lauren Drexler
- Nicole Grace Druckman
- Ken Eagle
- Elayne Spiegler OT, LLC
- Cynthia C Espinosa
- Family Residences & Essential Enterprises, Inc
- Family Residences & Essential Enterprises, Inc
- Family Residences and Essential Enterprises, Inc.
- Family Residences and Essential Enterprises, Inc.
All providers in Old Bethpage, NY · Athletic Trainer in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.