Active NPI
Alison M Farrell, MS, ATC, LAT
- Athletic Trainer
- Norwalk, CT
National Provider Identifier
1164524351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000004
- Practice address
- 166 East Ave
Norwalk, CT 06851-5725 - Phone
- (203) 957-8162
- Fax
- (203) 957-8165
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- 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 | 000004 | CT | Primary |
Addresses
Primary practice location
166 East Ave
Norwalk, CT 06851-5725
Mailing address
166 East Ave
Norwalk, CT 06851-5725
Phone (203) 957-8162
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000004 | CT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Body Physical Therapy, LLP | Athletic Trainer | Current | Accepting new patients |
Locations
166 East Ave
Norwalk, CT 06851
Phone (203) 354-5770
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1164524351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 EAST AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515725",
"telephone_number": "203-957-8162",
"fax_number": "203-957-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 EAST AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515725",
"telephone_number": "203-957-8162",
"fax_number": "203-957-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "ALISON",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "000004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.