Individual provider Active NPI

Sarah Margaret Cosentino, ATC

  • Athletic Trainer
  • Carol Stream, IL
National Provider Identifier
1033648910
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL6206 Issued in FL
Practice address
359 Alabama TRL
Carol Stream, IL 60188-1374
Phone
(630) 696-2685
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL6206 FL Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

359 Alabama TRL
Carol Stream, IL 60188-1374

Mailing address

105 Mobbly Bay Dr
Oldsmar, FL 34677-4008
Phone (630) 696-2685

Other practice location 1

105 Mobbly Bay Dr
Oldsmar, FL 34677-4008
Phone (630) 696-2685

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

State licenses

LicenseStateTypeSpecialty
AL6206FLMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1033648910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MOBBLY BAY DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774008",
            "telephone_number": "630-696-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 ALABAMA TRL",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881374",
            "telephone_number": "630-696-2685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Mobbly Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Oldsmar",
            "state": "FL",
            "postal_code": "346774008",
            "country_code": "US",
            "telephone_number": "630-696-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSENTINO",
        "first_name": "SARAH",
        "middle_name": "MARGARET",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL6206",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.