Paula Dombek
Individual provider Active NPI Athletic Trainer · Storrs Mansfield, CT
NPI 1164614673 · NPPES record last updated Aug 17, 2007
Key facts
- NPI
- 1164614673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 13 Dog LN # B
Storrs Mansfield, CT 06268-2206 - Phone
- (860) 429-0899
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Rehabilitation Services Inc | Past | Accepting new patients | |
| Select Physical Therapy of Connecticut Limited Partnership | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
13 Dog LN # B
Storrs Mansfield, CT 06268-2206
Mailing address
299 Buckland Hills Dr Apt 19321
Manchester, CT 06042-8729
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218 | Other | CT | LICENSE# |
Other providers in Storrs Mansfield, CT
- Carmel F Cuyler
- Steven J Dauer
- Craig R Denegar
- Laurie L Devaney
- Richard Paul Dibala
- Eastern Highlands Health District
- Bruce Nicholas Elliott
- C. John Ferreri
- Janelle Rae Francisco
- Ruth Ettenberg Freeman
All providers in Storrs Mansfield, 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 Aug 17, 2007. 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.