Active NPI
Troy Richard Quenzer, LAT, ATC
- Athletic Trainer
- Pittsburg, KS
National Provider Identifier
1811419633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-01210
- Practice address
- 1701 S Homer St
213 Weede Phys Ed BLDG
Pittsburg, KS 66762 - Phone
- (620) 235-4646
- NPI assigned
- Jul 13, 2017
- 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 | 24-01210 | KS | Primary |
Addresses
Primary practice location
1701 S Homer St
213 Weede Phys Ed BLDG
Pittsburg, KS 66762
Mailing address
714 E Monroe St Apt a
Pittsburg, KS 66762-6097
Phone (785) 443-0383
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-01210 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1811419633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 E MONROE ST APT A",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667626097",
"telephone_number": "785-443-0383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S HOMER ST",
"address_2": "213 WEEDE PHYS ED BLDG",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-235-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUENZER",
"first_name": "TROY",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-01210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.