Anthony Joseph Decarlo, M.S., LAT, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000030525 Issued in PA

Practice address

201 Falcon Dr
Connellsville, PA 15425-5504

Phone

(724) 628-1350

Fax

(724) 628-0280

NPI assigned

Sep 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1194243584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BAUGHMAN AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442920",
            "telephone_number": "412-551-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FALCON DR",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154255504",
            "telephone_number": "724-628-1350",
            "fax_number": "724-628-0280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Baughman Ave",
            "address_purpose": "LOCATION",
            "city": "Jeannette",
            "state": "PA",
            "postal_code": "156442920",
            "country_code": "US",
            "telephone_number": "412-551-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "M.S., LAT, ATC, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "2000030525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Eric Cunningham, D.P.M.
• Paul Dascani, M.D.
• Keli Dawn De Carlo, LPC, NCC
• Jasmine Lynn Debeary, MSW
• Maurita Decara, OTR/L
• Gail Dehart
• Delfine and Hiles Chiropractic Center PC
• Jamie Lee Delfine, DC
• Marra Dematteo, BEHAVIORAL SPECIALIS
• Melissa Dickinson, LMSW

• Athletic Trainer in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.