Zachary Regulbuto
Individual provider Active NPI Athletic Trainer · Burlington, CT
NPI 1316686173 · NPPES record last updated May 31, 2022
Key facts
- NPI
- 1316686173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 4 Rowe CT
Burlington, CT 06013-2579 - Phone
- (860) 394-7468
- NPI assigned
- May 31, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
4 Rowe CT
Burlington, CT 06013-2579
Mailing address
4 Rowe CT
Burlington, CT 06013-2579
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN960226176 | Other | BCBS |
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All providers in Burlington, CT · Athletic Trainer in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.