Active NPI
Christopher Polsinelli, AT, ATC
- Athletic Trainer
- Pontiac, MI
National Provider Identifier
1326448929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000244
- Practice address
- 1300 Giddings Rd
Pontiac, MI 48340-2108 - Phone
- (248) 373-5300
- NPI assigned
- Sep 2, 2014
- 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 | 2601000244 | MI | Primary |
Addresses
Primary practice location
1300 Giddings Rd
Pontiac, MI 48340-2108
Mailing address
2635 Compton Dr
Waterford, MI 48329-3379
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 |
|---|---|---|---|
| 2601000244 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1326448929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 COMPTON DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483293379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 GIDDINGS RD",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483402108",
"telephone_number": "248-373-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSINELLI",
"first_name": "CHRISTOPHER",
"credential": "AT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
- Anthony Jay Plas, PHARM.D.
- Damir Pogarcic, DO
- Victoria Pokryfky, LMSW
- Ashley Kristine Polinski, BS
- Joy Ann Pollard, ACNP
- Damaris Ponce
- Pontiac Anesthesia Care Associates, PLLC
- Pontiac Associates in Obstetrics & Gynecology, P.C.
- Pontiac Children'S Services Inc
- Pontiac General Hospital & Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.