John Joseph Stawinski III, MA, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1040000030 Issued in VT

Practice address

14 Corporate Dr
Essex Junction, VT 05452-4434

Phone

(802) 871-5423

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Injury to Excellence

  • Physical Therapist
  • Essex Junction, VT
  • NPI 1649815606
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2019.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1124237185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SAXONHOLLOW DR",
            "address_2": "F1",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523977",
            "telephone_number": "802-878-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CORPORATE DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524434",
            "telephone_number": "802-871-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAWINSKI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MA, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "1040000030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Sliwka, LCMHC
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• Nicholas Raymond Stark, PHARMD
• Eva Marie Steele, LSW
• Nathan L Stocke, OD
• Sally Stockwell, M.D.
• Kerry L. Stout, LICSW
• Danielle M Sturgeon, PT

• All providers in Essex Junction, VT
• Athletic Trainer in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.