Active NPI
Justin Delaini, ATC, CSCS, PES
- Athletic Trainer
- Somerset, PA
National Provider Identifier
1194001255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RTO000049
- Practice address
- 126 E Church St Ste 1100
Somerset, PA 15501-2271 - Phone
- (814) 445-3330
- NPI assigned
- Nov 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RTO000049 | PA | Primary |
Addresses
Primary practice location
126 E Church St Ste 1100
Somerset, PA 15501-2271
Mailing address
126 E Church St Ste 1100
Somerset, PA 15501-2271
Phone (814) 445-3330
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 |
|---|---|---|---|
| RTO000049 | PA | MD | Athletic Trainer |
Interoperability endpoints
- justin.delaini@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1194001255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E CHURCH ST STE 1100",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155012271",
"telephone_number": "814-445-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 E CHURCH ST STE 1100",
"city": "SOMERSET",
"state": "PA",
"postal_code": "155012271",
"telephone_number": "814-445-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAINI",
"first_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "ATC, CSCS, PES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RTO000049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.