Cynthia K Dormann, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00047500 Issued in NJ

Practice address

1 Normal Avenue
Intercollegiate Athletics
Montclair, NJ 07043-1624

Phone

(201) 953-1045

NPI assigned

Jun 19, 2021

Sex

Female

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": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1316516834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WISCASSET RD",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074229102",
            "telephone_number": "201-953-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORMAL AVENUE",
            "address_2": "INTERCOLLEGIATE ATHLETICS",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431624",
            "telephone_number": "201-953-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMANN",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00047500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara F. Donnelly, PH.D
• Wendy Donnelly, LCSW
• Jeffrey Doorn, LCSW
• Vincent Peter Dopulos, LPC
• Dori Christmas, LCSW LLC (Inspired Hope)
• Rosita D Dotson
• Elaine Douglas, MD
• Lauren B Dover, OTR/L
• Jacqueline Dowd, CCC-SLP
• Jeanine B. Downie, M. D.

• Athletic Trainer in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.