Adam Lucas Hotaling, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT4214 Issued in TX

Practice address

951 Fortenberry Rd
Decatur, TX 76234-5817

Phone

(607) 423-3870

NPI assigned

Jan 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1952875171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 FORTENBERRY RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762345817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 FORTENBERRY RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762345817",
            "telephone_number": "607-423-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 Medical Center Dr Bldg 200",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343866",
            "country_code": "US",
            "telephone_number": "682-316-6638",
            "fax_number": "940-393-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTALING",
        "first_name": "ADAM",
        "middle_name": "LUCAS",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sven Peder Hoge, DMD
• Christine W Holland, MD
• Leslie M Hollis, MD
• Sammy Joe Horton, M.D.
• Meagan Host
• Melissa House, APN
• Julianne Howdeshell, LCSW
• Desiree Howlett
• Syed N Hussain, MBBS
• Julie Hwang, D.O.

• Athletic Trainer in Decatur, TX
• Providers in Decatur, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.