Active NPI
Steven Laraia, LAT, ATC, CSCS, EMT
- Athletic Trainer
- Brockton, MA
National Provider Identifier
1770001307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2702
- Practice address
- 680 Centre Street
Brockton, MA 02302 - Phone
- (508) 941-7000
- NPI assigned
- Sep 4, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 2702 | MA | Primary |
Addresses
Primary practice location
680 Centre Street
Brockton, MA 02302
Mailing address
26 Langley Road
Brighton, MA 02135
Phone (774) 766-8418
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
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2702 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504483200000",
"number": "1770001307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 LANGLEY ROAD",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "02135",
"telephone_number": "774-766-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 CENTRE STREET",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02302",
"telephone_number": "508-941-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARAIA",
"first_name": "STEVEN",
"credential": "LAT, ATC, CSCS, EMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-04",
"last_updated": "2017-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.