Scott Adam Grove, ATC
Individual provider Active NPI Athletic Trainer · Interlaken, NY
NPI 1942230545 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942230545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 8502 Route 89
Interlaken, NY 14847-9621 - Phone
- (607) 532-3444
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NY | Yes |
Addresses
Primary practice location
8502 Route 89
Interlaken, NY 14847-9621
Mailing address
8502 Route 89
Interlaken, NY 14847-9621
Phone (607) 532-3444
Other providers in Interlaken, NY
- Elizabeth Grace Borst
- Dena Ganoung
- Leigh Helen Grove
- Alicia Masloski
- Calina Sue Mayo
- Alison Musa
- Eva Marie Persoon
- Emily Rose Regan
All providers in Interlaken, NY · Athletic Trainer in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.