Active NPI
Stephen Traynor, ATC
- Athletic Trainer
- Manchester, NH
National Provider Identifier
1184901050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0468
- Practice address
- 35 Kosciuszko St
Manchester, NH 03101-1608 - Phone
- (603) 627-9728
- NPI assigned
- Nov 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0468 | NH | Primary |
| Athletic Trainer | 2255A2300X | 1908 | MA |
Addresses
Primary practice location
35 Kosciuszko St
Manchester, NH 03101-1608
Mailing address
293 Calef Rd
Manchester, NH 03103-6474
Phone (978) 761-1106
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1908 | MA | MD | Athletic Trainer |
| 0468 | NH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1184901050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 CALEF RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031036474",
"telephone_number": "978-761-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 KOSCIUSZKO ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011608",
"telephone_number": "603-627-9728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAYNOR",
"first_name": "STEPHEN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-07",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "0468",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1908",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.