Cynthia Maldonado, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096005237 Issued in IL

Practice address

3852 N Cicero Ave
Chicago, IL 60641-3622

Phone

(773) 355-5407

NPI assigned

Dec 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: cynthia.maldonadoo@atipt.com

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1063009967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 N ELSTON AVE # C1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304262",
            "telephone_number": "773-677-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413622",
            "telephone_number": "773-355-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "CYNTHIA",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096005237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cynthia.maldonadoo@atipt.com",
            "affiliation": "Y",
            "endpointDescription": "ATI Email Address",
            "affiliationName": "Ati Physical Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Professional Email",
            "address_1": "3852 N Cicero Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606413622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Maldonado, OTR/L
• Berenice Maldonado
• Celina Maldonado
• Chelsea Maldonado
• Christina Marie Maldonado, LCSW
• Devon Maldonado, LPC
• Giancarlo Maldonado, D.D.S.
• Janette Maldonado, MD
• Maria Del Mar Maldonado, MD
• Nancy Maldonado

• Athletic Trainer in Chicago, IL
• Providers in Chicago, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.