Active NPI
Patrick Deedy, ATC
- Athletic Trainer
- Bennington, VT
National Provider Identifier
1134533235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 5 Appletree LN
Bennington, VT 05201 - Phone
- (508) 572-6270
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
5 Appletree LN
Bennington, VT 05201
Mailing address
982 Mansion Dr
Bennington, VT 05201-9269
Phone (802) 447-4670
Other practice location 1
23 Saw Mill Rd
Concord, MA 01742-2221
Phone (508) 572-6270
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1134533235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 MANSION DR",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052019269",
"telephone_number": "802-447-4670",
"fax_number": "802-447-4652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 APPLETREE LN",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "05201",
"telephone_number": "508-572-6270"
}
],
"practiceLocations": [
{
"address_1": "23 Saw Mill Rd",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017422221",
"country_code": "US",
"telephone_number": "508-572-6270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEEDY",
"first_name": "PATRICK",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.