Sophia Josephine Testani, ATC
Individual provider Active NPI Athletic Trainer · Morrisville, NY
NPI 1134898356 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1134898356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 004796 (NY)
- Practice address
- 80 Eaton St
Morrisville, NY 13408-7705 - Phone
- (315) 684-6893
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004796 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 004796 | NY | Yes |
Addresses
Primary practice location
80 Eaton St
Morrisville, NY 13408-7705
Mailing address
4847 Pembroke Dr
Manlius, NY 13104-2114
Phone (315) 418-2098
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All providers in Morrisville, NY · Athletic Trainer in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.