Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Daniel Grotzinger, ATC, PES

Individual provider Athletic Trainer · NPI 1508930421

Mr. Mark Daniel Grotzinger, ATC, PES is an Athletic Trainer in Lewisburg, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

Kenneth Langone Sports Medicine Center One Dent Dr
Lewisburg, PA 17837
Phone: (814) 418-0514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Lasalle Sq, Providence, RI 02903 — (401) 680-4714

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT003823 (PA)

Record details

NPI number1508930421
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , PES
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESSeptember 19, 2019
Mailing address104 Hawthorne Dr, Lewisburg, PA 17837-6659

Other providers in Lewisburg