Active NPI
Jonica Lee Hubbard
- Athletic Trainer
- Shelton, CT
National Provider Identifier
1629063060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2 Trap Falls Rd
Suite 404
Shelton, CT 06484-4616 - Phone
- (203) 734-7900
- Fax
- (203) 513-3267
- NPI assigned
- Sep 13, 2005
- Last updated
- Sep 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
2 Trap Falls Rd
Suite 404
Shelton, CT 06484-4616
Mailing address
2 Trap Falls Rd
Suite 404
Shelton, CT 06484-4616
Phone (203) 734-7900
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho PA Services | Current | Accepting new patients |
Locations
2 Trap Falls Rd
Ste 404
Shelton, CT 06484
Phone (203) 734-7900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Westport, CT
- NPI 1619861556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1629063060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD",
"address_2": "SUITE 404",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844616",
"telephone_number": "203-734-7900",
"fax_number": "203-513-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD",
"address_2": "SUITE 404",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844616",
"telephone_number": "203-734-7900",
"fax_number": "203-513-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "JONICA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.