Jillian Picard-Busky, ATS
Individual provider Active NPI Athletic Trainer · Storrs Mansfield, CT
NPI 1063986453 · NPPES record last updated Jan 18, 2019
Key facts
- NPI
- 1063986453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 72 Timber Dr
Storrs Mansfield, CT 06268-1227 - Phone
- (860) 429-7990
- NPI assigned
- Jan 18, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
72 Timber Dr
Storrs Mansfield, CT 06268-1227
Mailing address
72 Timber Dr
Storrs Mansfield, CT 06268-1227
Phone (860) 429-7990
Other providers in Storrs Mansfield, CT
- Mozaic Kids, LLC
- Giannina Mariana O'Leary
- Neil Olson
- Maya Paulose
- Pharmacity LLC
- Price Chopper Inc
- Ravenswood Psychiatric Services, P.L.L.C.
- Holly Elizabeth Rawson
- Raynor-Cano
- James J Raynor
All providers in Storrs Mansfield, CT · Athletic Trainer in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.