Individual provider Active NPI

Garth F Laszinski, M.ED., ATC

  • Athletic Trainer
  • Plymouth, WI
National Provider Identifier
1346544467
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
703-039 Issued in WI
Practice address
W3718 South Dr
Plymouth, WI 53073-4878
Phone
(920) 565-1252
Fax
(920) 565-1399
NPI assigned
Jan 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 703-039 WI Primary

Addresses

Primary practice location

W3718 South Dr
Plymouth, WI 53073-4878

Mailing address

PO Box 359
Sheboygan, WI 53082-0359
Phone (920) 565-1252

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
Master of Education

State licenses

LicenseStateTypeSpecialty
703-039WIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1346544467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530820359",
            "telephone_number": "920-565-1252",
            "fax_number": "920-565-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3718 SOUTH DR",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734878",
            "telephone_number": "920-565-1252",
            "fax_number": "920-565-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASZINSKI",
        "first_name": "GARTH",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "M.ED., ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "703-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.