Ashley Frisina-Deyo, MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1174 Issued in CT

Practice address

2505 Main St
Stationhouse SQ #207
Stratford, CT 06615-5839

Phone

(203) 385-4263

Fax

(203) 381-2014

NPI assigned

Nov 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Brower Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1730631979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST",
            "address_2": "STATIONHOUSE SQ #207",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155839",
            "telephone_number": "203-385-4263",
            "fax_number": "203-381-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 MAIN ST",
            "address_2": "STATIONHOUSE SQ #207",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155839",
            "telephone_number": "203-385-4263",
            "fax_number": "203-381-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISINA-DEYO",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BROWER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Athletic Trainer in Stratford, CT
• Providers in Stratford, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.