Active NPI
John Thomas Giovengo IV, MS,ATC,PTA
- Athletic Trainer
- Benwood, WV
National Provider Identifier
1669659124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 408 Water St
Benwood, WV 26031-1124 - Phone
- (304) 233-9091
- NPI assigned
- Jan 28, 2008
- Last updated
- Jan 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | |||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
408 Water St
Benwood, WV 26031-1124
Mailing address
408 Water St
Benwood, WV 26031-1124
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1669659124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 WATER ST",
"city": "BENWOOD",
"state": "WV",
"postal_code": "260311124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 WATER ST",
"city": "BENWOOD",
"state": "WV",
"postal_code": "260311124",
"telephone_number": "304-233-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIOVENGO",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "MS,ATC,PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benwood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.