Active NPI
Wayne Rodrigues, ATC, EMT-P
- Athletic Trainer
- Springfield, MA
National Provider Identifier
1285065466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 172
- Practice address
- 263 Alden Street
Springfield College
Springfield, MA 01109 - Phone
- (413) 748-3188
- Fax
- (413) 748-3817
- NPI assigned
- Dec 12, 2013
- Sex
- Male
- 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 | 172 | MA | Primary |
Addresses
Primary practice location
263 Alden Street
Springfield College
Springfield, MA 01109
Mailing address
263 Alden Street
Springfield College
Springfield, MA 01109-3707
Phone (413) 748-3188
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
- Credentials
- Emergency Medical Technician - Paramedic
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1285065466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 ALDEN STREET",
"address_2": "SPRINGFIELD COLLEGE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093707",
"telephone_number": "413-748-3188",
"fax_number": "413-748-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 ALDEN STREET",
"address_2": "SPRINGFIELD COLLEGE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01109",
"telephone_number": "413-748-3188",
"fax_number": "413-748-3817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUES",
"first_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "ATC, EMT-P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.