Active NPI
Todd C Sabol, AT
- Athletic Trainer
- New Lexington, OH
National Provider Identifier
1922483072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2547 Panther Dr
New Lexington, OH 43764 - Phone
- (330) 858-8256
- NPI assigned
- Jul 29, 2015
- 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 | OH | Primary |
Addresses
Primary practice location
2547 Panther Dr
New Lexington, OH 43764
Mailing address
14 Walter Ave
Barberton, OH 44203-3702
Phone (330) 858-8256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000021428 | Other | BOARD OF CERTIFICATION | |
| AT.004746 | Other | OH | OTPTAT BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1922483072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 WALTER AVE",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442033702",
"telephone_number": "330-858-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2547 PANTHER DR",
"city": "NEW LEXINGTON",
"state": "OH",
"postal_code": "43764",
"telephone_number": "330-858-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOL",
"first_name": "TODD",
"middle_name": "C",
"credential": "AT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION",
"identifier": "2000021428",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTPTAT BOARD",
"identifier": "AT.004746",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Lexington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.