Steven C Favia, M.AT, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 3070 Issued in FL

Practice address

4321 Hollow Stump Run
Palmetto, FL 34221-1250

Phone

(941) 212-7125

NPI assigned

Jun 21, 2013

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

State licenses

Practice roles

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.

• Palmetto Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Palmetto, FL
  • NPI 1831869452
  NPD Authorized official

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1124467246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 HOLLOW STUMP RUN",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211250",
            "telephone_number": "941-212-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 HOLLOW STUMP RUN",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211250",
            "telephone_number": "941-212-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVIA",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.AT, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 3070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.