Active NPI
Colby Westervelt, LAT, ATC
- Athletic Trainer
- Candor, NY
National Provider Identifier
1265989586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000268-1
- Practice address
- 1 Academy Street
Candor, NY 13743 - Phone
- (607) 659-5020
- NPI assigned
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 000268-1 | NY | Primary |
Addresses
Primary practice location
1 Academy Street
Candor, NY 13743
Mailing address
2673 Lockwood Run Rd
Lockwood, NY 14859-9624
Phone (607) 742-1051
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 |
|---|---|---|---|
| 000268-1 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1265989586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2673 LOCKWOOD RUN RD",
"city": "LOCKWOOD",
"state": "NY",
"postal_code": "148599624",
"telephone_number": "607-742-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ACADEMY STREET",
"city": "CANDOR",
"state": "NY",
"postal_code": "13743",
"telephone_number": "607-659-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTERVELT",
"first_name": "COLBY",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000268-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Candor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.