Active NPI
Aimee M Sevigny Krenicki, ATC, PES
- Athletic Trainer
- New London, CT
National Provider Identifier
1043339856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0323
- Practice address
- 270 Mohegan Ave
New London, CT 06320-4150 - Phone
- (860) 439-2679
- NPI assigned
- Mar 29, 2007
- 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 | 0323 | NH | Primary |
Addresses
Primary practice location
270 Mohegan Ave
New London, CT 06320-4150
Mailing address
5 Green Hills Rd
Quaker Hill, CT 06375-1108
Phone (603) 557-4959
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0323 | NH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1043339856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GREEN HILLS RD",
"city": "QUAKER HILL",
"state": "CT",
"postal_code": "063751108",
"telephone_number": "603-557-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 MOHEGAN AVE",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204150",
"telephone_number": "860-439-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVIGNY KRENICKI",
"first_name": "AIMEE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "ATC, PES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "0323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.