Aaron Lawrence Groth, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1806 Issued in MN

Practice address

1750 105TH Ave. NE
Schwan Center
Blaine, MN 55449

Phone

(763) 780-0356

Fax

(763) 780-0694

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1891719191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 NEVADA AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163353",
            "telephone_number": "763-226-8138",
            "fax_number": "763-780-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 105TH AVE. NE",
            "address_2": "SCHWAN CENTER",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55449",
            "telephone_number": "763-780-0356",
            "fax_number": "763-780-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "AARON",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA CERTIFICATION",
            "identifier": "040002080",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER RESGISTR",
            "identifier": "1806",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greyline Services
• Kelsey Gries, LPCC
• Laura Griffis
• Ana P Groeschel, M.D.
• Jessica Groff
• Group Health, Inc.
• Groveland Care LLC
• Laura M Gruber, LMT
• Tiffany S Hall, PA-C
• Michael Thomas Hample, DC

• All providers in Blaine, MN
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.