Amber Fragoso, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6838 Issued in TX

Practice address

1 Camino Sanata Maria
San Antonio, TX 78228

Phone

(210) 436-3101

NPI assigned

Apr 20, 2017

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

Other identifiers 1

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1841724424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5313 SUNMEADOW DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605867585",
            "telephone_number": "815-592-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMINO SANATA MARIA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78228",
            "telephone_number": "210-436-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOSO",
        "first_name": "AMBER",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ATHLETIC TRAINER",
            "identifier": "AT6838",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Wietz Fox, O.D.
• Stephanie Kay Fox, RPH
• Virginia Fox, PT
• Adrienne Elyse Frachtman, MS, SLP
• Felisha Fraga
• Gabriel Fragozo
• Janet E. Frakes
• Debra Fraley, APN
• Sarah Fraley, MRC, CRC, LPC
• Michael Roy France, PA-C

• Athletic Trainer in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.