Justin Letizia, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001489 Issued in NY

Practice address

50 Foggintown Rd
Brewster, NY 10509-2715

Phone

(845) 279-5051

NPI assigned

Mar 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brewster Central School District

  • Local Education Agency (LEA)
  • Brewster, NY
  • NPI 1336416825
  NPD (past)

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1437542685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ROUTE 312",
            "address_2": "SUITE 301B",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOGGINTOWN RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092715",
            "telephone_number": "845-279-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETIZIA",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy M Latella, MASTERS
• Barbara Ann Latterner, IBCLC
• Jennifer A Latterner, BSW
• Simone Michele Lawrence, PMHNP
• Howard Lee, MD
• Sara Levin, LMSW
• Kristin Boyle Licardi, LCSW
• Alix Y Lieb
• Lou Lindenbaum, PHD
• Jacqueline Konstandina Lintzeris, LMSW

• Athletic Trainer in Brewster, NY
• Providers in Brewster, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.