Nathan Dufault, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

307 S Livingston St
Madison, WI 53703-3513

Phone

(608) 250-1775

Fax

(608) 250-1777

NPI assigned

Oct 26, 2011

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

Practice roles

Locations

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.

• Mindful Motion Physical Therapy, LLC

  • Physical Therapist
  • Madison, WI
  • NPI 1366716987
  NPD Authorized official

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1518243237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S LIVINGSTON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033513",
            "telephone_number": "608-250-1775",
            "fax_number": "608-250-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S LIVINGSTON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033513",
            "telephone_number": "608-250-1775",
            "fax_number": "608-250-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFAULT",
        "first_name": "NATHAN",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2021-07-16",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Vincent Duda
• Christina Marie Dudley, MD
• Olivia J Duehr
• Lauren K Duerst, PA-C
• Jessica Dufault, DPT, ATC
• Christina Marie Duffy, CRNA
• Sarah E Duffy
• Sean M Duffy, MD
• Natalie J Duhr Stowell, LMFT
• Allison Dujua, MSW, APSW

• Athletic Trainer in Madison, WI
• Providers in Madison, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.