Steven Thomas Dale, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096005341 Issued in IL

Practice address

1801 N Eola Rd
Aurora, IL 60502-7065

Phone

(860) 834-9501

NPI assigned

Nov 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1235847864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 SELMARTEN RD UNIT 3906",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051373",
            "telephone_number": "860-834-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027065",
            "telephone_number": "860-834-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096005341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William P Dagiantis, MD
• Thomas Meda Daguinsin III, OTR/L
• Kathelyn Sim Daguro-Robledo, APN, MSN-FNP
• Solomon Dail
• Jennifer Dailey
• Jeannine Daleiden-Farwell, R.N.
• Daley Interactions, Inc
• Andrea Mae Daley
• Christabel Daley, MHS,CCC-SLP
• Ellen M Daly, PA-C

• Athletic Trainer in Aurora, IL
• Providers in Aurora, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.