Active NPI
Todd Martin Grothe, LATC
- Athletic Trainer
- North Platte, NE
National Provider Identifier
1902949746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 242
- Practice address
- 1115 S Cottonwood St
North Platte, NE 69101-6108 - Phone
- (308) 535-7456
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 242 | NE | Primary |
Addresses
Primary practice location
1115 S Cottonwood St
North Platte, NE 69101-6108
Mailing address
3411 W E St
North Platte, NE 69101-4874
Phone (308) 535-7456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902949746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 W E ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691014874",
"telephone_number": "308-535-7456",
"fax_number": "308-696-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S COTTONWOOD ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016108",
"telephone_number": "308-535-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTHE",
"first_name": "TODD",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "LATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- 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.