Individual provider · Type 1 NPI

Scott David Gruder, MSED, ATC, CSCS

Athletic Trainer · Patchogue, NY

NPI number 1316912827 Active

Practice location

155 W Roe Blvd, St. Joseph's College John A Danzi Athletic Center
Patchogue, NY 11772-2325

Mailing address

64 Long Tree Ln, Apt 18
Moriches, NY 11955-2050

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X001091 (NY)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1316912827

Scott David Gruder, MSED, ATC, CSCS's National Provider Identifier is 1316912827, issued on Feb 19, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Patchogue, NY. The record was last updated on Jul 13, 2026.