Sara Weber Gross, LAT, ATC
Individual provider Active NPI Athletic Trainer · Olin, NC
NPI 1831612092 · NPPES record last updated Jul 19, 2017
Key facts
- NPI
- 1831612092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 3002 (NC)
- Practice address
- 156 Raider Rd
Olin, NC 28660-9454 - Phone
- (704) 876-4191
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002 | NC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 3002 | NC | Yes |
Addresses
Primary practice location
156 Raider Rd
Olin, NC 28660-9454
Mailing address
1838 Bethel Church Rd
Taylorsville, NC 28681-9084
Other providers in Olin, NC
All providers in Olin, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 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.