Individual provider Active NPI

Christopher S Pribish

  • Athletic Trainer
  • Windham, ME
National Provider Identifier
1245271550
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT241 Issued in ME
Practice address
4 Commons Ave
Suite 4D
Windham, ME 04062-5554
Phone
(207) 892-7642
Fax
(207) 892-8440
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 AT241 ME Primary

Addresses

Primary practice location

4 Commons Ave
Suite 4D
Windham, ME 04062-5554

Mailing address

4 Commons Ave
Suite 4D
Windham, ME 04062-5554
Phone (207) 892-7642

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
AT241MEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245271550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COMMONS AVE",
            "address_2": "SUITE 4D",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625554",
            "telephone_number": "207-892-7642",
            "fax_number": "207-892-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COMMONS AVE",
            "address_2": "SUITE 4D",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625554",
            "telephone_number": "207-892-7642",
            "fax_number": "207-892-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBISH",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.