Erica Thompson Baumgartner, ATC
Individual provider Active NPI Athletic Trainer · Storrs Mansfield, CT
NPI 1750419081 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750419081
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 000144 (CT)
- Practice address
- 13B Dog LN
Storrs Mansfield, CT 06268-2206 - Phone
- (860) 429-0899
- Fax
- (860) 429-0898
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000144 | CT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Rehabilitation Services Inc | Past | Accepting new patients | |
| Select Physical Therapy of Connecticut Limited Partnership | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000144 | CT | Yes |
Addresses
Primary practice location
13B Dog LN
Storrs Mansfield, CT 06268-2206
Mailing address
527 West Thames Street
Unit 56
Norwich, CT 06360
Phone (571) 225-1411
Other names
- Erica Lynne Thompson
Other providers in Storrs Mansfield, CT
- Stephen A Anderson
- Atlantis Therapeutic Massage LLC
- Patricia M Baker
- Susan Bartlett
- Rebecca Barton
- Alexis Bermudez
- Barbara Boucher
- Brian P Batherson
- Paul K. Canavan
- Louis G Cano
All providers in Storrs Mansfield, CT · Athletic Trainer in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.