Individual provider Active NPI

Thomas Swiergosz, LAT

  • Athletic Trainer
  • Norwalk, CT
National Provider Identifier
1619025863
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000068 Issued in CT
Practice address
38 Brooklawn Ave
Norwalk, CT 06854-2131
Phone
(203) 803-4702
NPI assigned
Jan 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000068 CT Primary

Addresses

Primary practice location

38 Brooklawn Ave
Norwalk, CT 06854-2131

Mailing address

38 Brooklawn Ave
Norwalk, CT 06854-2131
Phone (203) 642-4323

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

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619025863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BROOKLAWN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542131",
            "telephone_number": "203-642-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BROOKLAWN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542131",
            "telephone_number": "203-803-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIERGOSZ",
        "first_name": "THOMAS",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.