Active NPI
Kaitlyn Marie Maguire, LAT, ATC
- Athletic Trainer
- Chicopee, MA
National Provider Identifier
1760031561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3588
- Practice address
- 820 Front St
Chicopee, MA 01020-1722 - Phone
- (413) 594-3437
- NPI assigned
- Sep 5, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 3588 | MA | Primary |
Addresses
Primary practice location
820 Front St
Chicopee, MA 01020-1722
Mailing address
63 Blueberry Hill St
Springfield, MA 01128-1011
Phone (978) 987-4478
Other practice location 1
315 Turnpike St # 3381
North Andover, MA 01845-5800
Phone (978) 987-4478
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 |
|---|---|---|---|
| 3588 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1760031561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 BLUEBERRY HILL ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011281011",
"telephone_number": "978-987-4478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 FRONT ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201722",
"telephone_number": "413-594-3437"
}
],
"practiceLocations": [
{
"address_1": "315 Turnpike St # 3381",
"address_purpose": "LOCATION",
"city": "North Andover",
"state": "MA",
"postal_code": "018455800",
"country_code": "US",
"telephone_number": "978-987-4478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGUIRE",
"first_name": "KAITLYN",
"middle_name": "MARIE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "3588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.