Individual provider Active NPI

Aimee Montminy, LAT, ATC, ITAT

  • Athletic Trainer
  • Lawrence, MA
National Provider Identifier
1326442351
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2620 Issued in MA
Practice address
300 Hampshire St
Lawrence, MA 01841-3644
Phone
(603) 944-3314
NPI assigned
Oct 20, 2014
Last updated
Oct 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0611 NH
Athletic Trainer 2255A2300X 2620 MA Primary

Addresses

Primary practice location

300 Hampshire St
Lawrence, MA 01841-3644

Mailing address

818 Broadway
Haverhill, MA 01832-1210
Phone (603) 944-3314

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
2620MAMDPsychologist
0611NHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1326442351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 BROADWAY",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018321210",
            "telephone_number": "603-944-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HAMPSHIRE ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018413644",
            "telephone_number": "603-944-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTMINY",
        "first_name": "AIMEE",
        "credential": "LAT, ATC, ITAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "0611",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.