Taylor Benson, ATC, LAT, EMT
Individual provider Active NPI Athletic Trainer · Norwalk, CT
NPI 1154860161 · NPPES record last updated Feb 23, 2017
Key facts
- NPI
- 1154860161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2000025287 (CT)
- Practice address
- 490 Westport Ave
Norwalk, CT 06851-4424 - Phone
- (203) 614-9635
- NPI assigned
- Feb 23, 2017
- 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
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000025287 | CT | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000025287 | CT | Yes |
Addresses
Primary practice location
490 Westport Ave
Norwalk, CT 06851-4424
Mailing address
490 Westport Ave
Norwalk, CT 06851-4424
Phone (203) 614-9635
Other providers in Norwalk, CT
- Monica Lynette Bello
- Stuart Howard Bender
- Ryan Francis Bendl
- Bridget Bennett
- Dakota Bennett
- Francis Xavier Berardi
- Debra Carol Berg
- Steven Gary Berger
- Triston Wihelm Gabriel Berger
- Elizabeth Bergman
All providers in Norwalk, 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 Feb 23, 2017. 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.