Adam Ahmad Rizal

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2095 Hillside Rd # U-1110
Storrs, CT 06269-1110

Phone

(860) 486-1121

NPI assigned

Nov 11, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1083438733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 HILLSIDE RD # U-1110",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691110",
            "telephone_number": "860-486-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HILLSIDE RD # U-1110",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691110",
            "telephone_number": "860-486-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD RIZAL",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Abbott, DMD
• Sarah Jean Accorsi, LCSW
• William Michael Adams, ATC
• Alif Sattar Ahmed, MD
• Hasif Ahmed
• Fadi A Al-Khayer, MD
• Ivy M. Alexander, APRN
• Andres Tomas Almeraya, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.