Active NPI
Christopher Dimino
- Athletic Trainer
- St Francis, WI
National Provider Identifier
1104367192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2457-39
- Practice address
- 2000 E Layton Ave
Saint Francis, WI 53235-6053 - Phone
- (608) 575-2799
- NPI assigned
- Mar 10, 2017
- Sex
- Male
- 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 | 2457-39 | WI | Primary |
Addresses
Primary practice location
2000 E Layton Ave
Saint Francis, WI 53235-6053
Mailing address
4202 W Oakwood Park CT
Franklin, WI 53132-9118
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 |
|---|---|---|---|
| 2457-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1104367192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 W OAKWOOD PARK CT",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531329118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E LAYTON AVE",
"city": "SAINT FRANCIS",
"state": "WI",
"postal_code": "532356053",
"telephone_number": "608-575-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMINO",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-10",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "2457-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Francis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.