Individual provider Active NPI

Joshua T Robinson, ATC/L

  • Athletic Trainer
  • Taftville, CT
National Provider Identifier
1174756597
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000548 Issued in CT
Practice address
70 Jewett City Rd
Taftville, CT 06380-1246
Phone
(860) 319-2335
Fax
(860) 859-5091
NPI assigned
Sep 2, 2009
Last updated
Sep 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000548 CT Primary

Addresses

Primary practice location

70 Jewett City Rd
Taftville, CT 06380-1246

Mailing address

88 Chestnut St
Apt. #2
Norwich, CT 06360-4582
Phone (860) 319-2335

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

State licenses

LicenseStateTypeSpecialty
000548CTMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1174756597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CHESTNUT ST",
            "address_2": "APT. #2",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063604582",
            "telephone_number": "860-319-2335",
            "fax_number": "860-859-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 JEWETT CITY RD",
            "city": "TAFTVILLE",
            "state": "CT",
            "postal_code": "063801246",
            "telephone_number": "860-319-2335",
            "fax_number": "860-859-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JOSHUA",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "ATC/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taftville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.