✓ Licensed & Credentialed Specialist/Technologist, Athletic Trainer (2255A2300X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

SARAH ANDERSEN, ATC (NPI #1124427091)

Specialist/Technologist, Athletic Trainer • WESTERVILLE, OH • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1124427091
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2255A2300X
Licensed & Credentialed Specialist/Technologist, Athletic Trainer
Box 32 Service Location & ZIP+4
584 COUNTY LINE RD W, WESTERVILLE, OH, 43082-7295
✓ 9-Digit EDI 837 ZIP+4 (43082-7295)
Practice Phone & Referral Fax
Fax: (614) 355-6072
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124427091 (SARAH ANDERSEN, ATC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1124427091 (NPI-1 Individual Practitioner)
Provider / Legal NameSARAH ANDERSEN, ATC
Plain-English SpecialtyLicensed & Credentialed Specialist/Technologist, Athletic Trainer
NUCC Code: 2255A2300X (Specialist/Technologist, Athletic Trainer)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address584 COUNTY LINE RD W, WESTERVILLE, OH, 43082-7295
Practice Telephone / FaxTel: (614) 355-6055 | Fax: (614) 355-6072
Administrative Mailing Address200 HIDDEN RIDGE DR, JAMESTOWN, NC, 27282-8513
Enumeration & Last SyncEnumerated: 2014-08-17 | CMS Record Updated: 2019-06-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

584 COUNTY LINE RD W, WESTERVILLE, OH, 43082-7295

🗺️ Open in Google Maps 🏥 More Providers in WESTERVILLE

Plain-English Taxonomy & CMS Crosswalk (2255A2300X)

What Does Taxonomy Code 2255A2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2255A2300X translates to:
"Licensed & Credentialed Specialist/Technologist, Athletic Trainer"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Athletic Trainer for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SARAH ANDERSEN, ATC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
2255A2300X — Specialist/Technologist, Athletic Trainer
Plain English: Licensed & Credentialed Specialist/Technologist, Athletic Trainer
State: OH | License: AT005589 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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