Active NPI
Stephen Delger, ATC, M.ED
- Athletic Trainer
- State College, PA
National Provider Identifier
1902255060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT004869
- Practice address
- 147E Recreational Hall
State College, PA 16802 - Phone
- (814) 321-7706
- NPI assigned
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | RT004869 | PA | Primary |
Addresses
Primary practice location
147E Recreational Hall
State College, PA 16802
Mailing address
145E Rec Hall
University Park, PA 16801
Phone (814) 321-7706
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT004869 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1902255060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145E REC HALL",
"city": "UNIVERSITY PARK",
"state": "PA",
"postal_code": "16801",
"telephone_number": "814-321-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147E RECREATIONAL HALL",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "16802",
"telephone_number": "814-321-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGER",
"first_name": "STEPHEN",
"credential": "ATC, M.ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT004869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
- Arthur John De Carle, M.D.
- Morgan Taylor Decker, MD
- Sunna Deforest, LAPC
- Scott Michael Dehart, MD
- Melissa McCreary Deines, PH.D.
- Lauren C Delgrosso, PA-C
- Laura M Dell'Olio, LCSW
- Jennifer Lynne Delozier, MD
- Deborah Schloder Demuro, CRNP
- Dental Professionals of Pennsylvania P C (Rolling Ridge Dental Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.