Active NPI
Leonard Vincent Finamore Jr., LATC, CSCS
- Athletic Trainer
- West Roxbury, MA
National Provider Identifier
1124069026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 214
- Practice address
- 235 Baker St
West Roxbury, MA 02132-4331 - Phone
- (617) 469-8080
- Fax
- (617) 325-0888
- NPI assigned
- Jun 10, 2006
- 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 | 214 | MA | Primary |
Addresses
Primary practice location
235 Baker St
West Roxbury, MA 02132-4331
Mailing address
22 Abbott St
South Weymouth, MA 02190-1302
Phone (781) 331-8274
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 |
|---|---|---|---|
| 214 | MA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1124069026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ABBOTT ST",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021901302",
"telephone_number": "781-331-8274",
"fax_number": "617-325-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 BAKER ST",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324331",
"telephone_number": "617-469-8080",
"fax_number": "617-325-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINAMORE",
"first_name": "LEONARD",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.