Individual provider Active NPI

Jonathan Calzini-Castro, CPT

  • Athletic Trainer
  • Foxboro, MA
National Provider Identifier
1447074992
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1241321208 Issued in MA
Practice address
113 Washington St
Foxboro, MA 02035-1496
Phone
(774) 215-5579
NPI assigned
Nov 12, 2024
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 1241321208 MA Primary
Health & Wellness Coach 171400000X 1241205986 MA

Addresses

Primary practice location

113 Washington St
Foxboro, MA 02035-1496

Mailing address

290 Kelly Rd
Northbridge, MA 01534-1137

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
1241205986MAMDHealth & Wellness Coach
1241321208MAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1447074992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 KELLY RD",
            "city": "NORTHBRIDGE",
            "state": "MA",
            "postal_code": "015341137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WASHINGTON ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020351496",
            "telephone_number": "774-215-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALZINI-CASTRO",
        "first_name": "JONATHAN",
        "credential": "CPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "1241321208",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MA",
            "license": "1241205986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.