Anthony John Cannavo Jr., A.T.C.
Individual provider Active NPI Athletic Trainer · Winsted, CT
NPI 1154316768 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1154316768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 250 Torringford St
Winsted, CT 06098-2084 - Phone
- (860) 689-3782
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CT | Yes |
Addresses
Primary practice location
250 Torringford St
Winsted, CT 06098-2084
Mailing address
250 Torringford St
Winsted, CT 06098-2084
Phone (860) 689-3782
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All providers in Winsted, CT · Athletic Trainer in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.