Active NPI
Kathleen Martin, MS, ATC
- Athletic Trainer
- Storrs Mansfield, CT
National Provider Identifier
1013422955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 505 Jim Calhoun Way
Storrs Mansfield, CT 06269 - Phone
- (860) 617-7639
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
505 Jim Calhoun Way
Storrs Mansfield, CT 06269
Mailing address
111 John Olds Dr Apt 212
Manchester, CT 06042-8795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1013422955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 JOHN OLDS DR APT 212",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060428795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 JIM CALHOUN WAY",
"city": "STORRS MANSFIELD",
"state": "CT",
"postal_code": "06269",
"telephone_number": "860-617-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KATHLEEN",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Storrs Mansfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.