Individual provider Active NPI

Alice J. McLaine, PHD, ATC

  • Athletic Trainer
  • Fort Mill, SC
National Provider Identifier
1912024670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
549 Issued in SC
Practice address
600 E Cheval Dr
Fort Mill, SC 29708-6956
Phone
(803) 547-0329
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 549 SC Primary

Addresses

Primary practice location

600 E Cheval Dr
Fort Mill, SC 29708-6956

Mailing address

600 E Cheval Dr
Fort Mill, SC 29708-6956
Phone (803) 547-0329

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
549SCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912024670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CHEVAL DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086956",
            "telephone_number": "803-547-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E CHEVAL DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086956",
            "telephone_number": "803-547-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAINE",
        "first_name": "ALICE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

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.

Verify at the official NPI Registry.