Individual provider Active NPI

Arthur E Roy

  • Athletic Trainer
  • Kensington, CT
National Provider Identifier
1417517418
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000046 Issued in CT
Practice address
95 Winchell Dr
Kensington, CT 06037
Phone
(860) 828-4710
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 000046 CT Primary

Addresses

Primary practice location

95 Winchell Dr
Kensington, CT 06037

Mailing address

2416 Whitney Ave
Hamden, CT 06518-3248
Phone (203) 407-3590

Other practice location 1

95 Winchell Dr
Kensington, CT 06037
Phone (860) 828-4710

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

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1417517418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183248",
            "telephone_number": "203-407-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WINCHELL DR",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "06037",
            "telephone_number": "860-828-4710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Winchell Dr",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "CT",
            "postal_code": "06037",
            "country_code": "US",
            "telephone_number": "860-828-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "ARTHUR",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.