Marketa Schublova, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003379 Issued in PA

Practice address

1 Morrow Way
Slippery Rock University
Slippery Rock, PA 16057-1313

Phone

(724) 738-2793

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By 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 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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821133398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 CRAIG ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271411",
            "telephone_number": "724-738-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MORROW WAY",
            "address_2": "SLIPPERY ROCK UNIVERSITY",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571313",
            "telephone_number": "724-738-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBLOVA",
        "first_name": "MARKETA",
        "name_prefix": "Miss",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Slippery Rock, PA
• Providers in Slippery Rock, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.