Sophia Chimenti, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004523 Issued in NY

Practice address

6620 Fly Rd Ste 200
East Syracuse, NY 13057-5076

Phone

(315) 464-4472

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1548974694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 IDLEWOOD BLVD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130273021",
            "telephone_number": "631-871-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 FLY RD STE 200",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130575076",
            "telephone_number": "315-464-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMENTI",
        "first_name": "SOPHIA",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "004523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "Y",
            "affiliationName": "SUNY Upstate University Hospital",
            "address_1": "6620 Fly Rd Ste 200",
            "city": "East Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130575076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret Chao, M.D.
• Michelle Chapman
• Rohini Singh Chatterjee, M.D.
• Richard C Cherny, M.D.
• Child Health Care Associates Practice of Pediatrics
• Chiropractic First, P.C.
• Diana Christensen, MD
• Amanda Christian, PT, DPT
• Peter J Christiano, M.D.
• David A Churchill, M.D.

• Athletic Trainer in East Syracuse, NY
• Providers in East Syracuse, 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 Jan 12, 2023; 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.