William Robert Varasconi, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1436 Issued in CT

Practice address

125 Route 340
Sparkill, NY 10976-1041

Phone

(860) 940-1430

NPI assigned

Jan 17, 2018

Last updated

May 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1578071130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WITCHES ROCK RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107150",
            "telephone_number": "860-940-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ROUTE 340",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761041",
            "telephone_number": "860-940-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Witches Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060107150",
            "country_code": "US",
            "telephone_number": "860-940-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARASCONI",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Sparkill, NY
• Providers in Sparkill, 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 May 29, 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.