Active NPI
Kathryn Dziunycz, ATC
- Athletic Trainer
- Media, PA
National Provider Identifier
1093136756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RTO000034
- Practice address
- 134 Barren Rd
Media, PA 19063-4505 - Phone
- (610) 627-6233
- NPI assigned
- Dec 26, 2013
- 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 | RTO000034 | PA | Primary |
Addresses
Primary practice location
134 Barren Rd
Media, PA 19063-4505
Mailing address
315 Maple St
Downingtown, PA 19335-3105
Phone (484) 288-0239
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTO000034 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1093136756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MAPLE ST",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193353105",
"telephone_number": "484-288-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 BARREN RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190634505",
"telephone_number": "610-627-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIUNYCZ",
"first_name": "KATHRYN",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-26",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RTO000034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.