Unknown Individual – Athletic Trainer, NPI 1154350619

Unknown Individual is a healthcare provider. based in Georgetown, Texas. specializing in Athletic Trainer. The NPI Number for Unknown Individual is 1154350619

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154350619
Phone
(512) 415-6463
Address
134 WOODLAND RD
Deactivation Date
15 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 134, Woodland Road, Georgetown, Williamson County, Texas, 78628, United States

    GEORGETOWN, TX 786283037

    Phone: (512) 415-6463

    Fax: (512) 869-1524

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78628)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1154350619?
NPI 1154350619 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Athletic Trainer in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Georgetown, Texas as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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