Jared William Degler, LAT ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

54.001502 Issued in CT

Practice address

1 Civic Center PLZ
Hartford, CT 06103-1504

Phone

(484) 336-9956

NPI assigned

Feb 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jared.degler@msgsports.com

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1043803752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BERNE RD",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195268910",
            "telephone_number": "484-336-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIVIC CENTER PLZ",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061031504",
            "telephone_number": "484-336-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGLER",
        "first_name": "JARED",
        "middle_name": "WILLIAM",
        "credential": "LAT ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "54.",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "54.001502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jared.degler@msgsports.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Civic Center Plz",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061031504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick S. Deegan, P.A.
• Angelo Defazio, RPH PD
• Kelly M Deforest, APRN
• Susan Mary Degennaro, APRN
• James Degiovanni, PHD
• Lindsay Degrasse
• Jason Dehoff, CRNA
• Laura Kasmarzyk Deibel, APRN
• Michelle Dejager, MSW
• Paul Dekker, MD

• Athletic Trainer in Hartford, CT
• Providers in Hartford, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.