Active NPI
Stephen Garofalo, ATC,LAT
- Athletic Trainer
- Weymouth, MA
National Provider Identifier
1639599533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1837
- Practice address
- 90 Libbey Park
Suite 103
Weymouth, MA 02189-3129 - Phone
- (781) 331-9600
- NPI assigned
- Apr 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 1837 | MA | Primary |
Addresses
Primary practice location
90 Libbey Park
Suite 103
Weymouth, MA 02189-3129
Mailing address
90 Libbey Park
Suite 103
Weymouth, MA 02189-3129
Phone (781) 331-9600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1837 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Sports & Muscular | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- East Weymouth, MA
- NPI 1104822576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1639599533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 LIBBEY PARK",
"address_2": "SUITE 103",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893129",
"telephone_number": "781-331-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 LIBBEY PARK",
"address_2": "SUITE 103",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021893129",
"telephone_number": "781-331-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROFALO",
"first_name": "STEPHEN",
"credential": "ATC,LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-18",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "1837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.