Active NPI
Brittany Pollastro, MA, ATC
- Athletic Trainer
- St George, UT
National Provider Identifier
1053701516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 87519314810
- Practice address
- 225 S 700 E
St George, UT 84770-3875 - Phone
- (435) 650-6052
- NPI assigned
- Feb 4, 2015
- 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 | 87519314810 | UT | Primary |
Addresses
Primary practice location
225 S 700 E
St George, UT 84770-3875
Mailing address
3155 S Hidden Valley Dr Unit 211
St George, UT 84790-6930
Phone (435) 650-6052
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87519314810 | UT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1053701516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 S HIDDEN VALLEY DR UNIT 211",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906930",
"telephone_number": "435-650-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S 700 E",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703875",
"telephone_number": "435-650-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLASTRO",
"first_name": "BRITTANY",
"credential": "MA, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "UT",
"license": "87519314810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.