Madeline Marie Fitzpatrick, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1435 Issued in CT

Practice address

20 Tower Pkwy
New Haven, CT 06511-3640

Phone

(203) 432-2467

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1780274159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRUNSWICK RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844381",
            "telephone_number": "516-304-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER PKWY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113640",
            "telephone_number": "203-432-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "MADELINE",
        "middle_name": "MARIE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly A Fitting, LCMHC LCDP
• Susan Denise Fitzgerald Ely, MD, MPHTM
• Joseph Murray Fitzgerald Jr., LCSW
• Laura Fitzgerald
• Kenyon Fitzpatrick, MD
• Sarah Elizabeth Fitzpatrick, LCSW
• Kaila Ruby Fives, DO
• Aron Flagg, M.D.
• Maryellen Bridget Flaherty-Hewitt, MD
• Evelyn Flaherty, APRN

• Athletic Trainer in New Haven, CT
• Providers in New Haven, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.