Active NPI
Chris Scarlata, ATC
- Athletic Trainer
- Ithaca, NY
National Provider Identifier
1811029275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000148-1
- Practice address
- Teagle Hall
Campus Rd.
Ithaca, NY 14853 - Phone
- (607) 255-4237
- NPI assigned
- Mar 12, 2007
- 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 | 000148-1 | NY | Primary |
Addresses
Primary practice location
Teagle Hall
Campus Rd.
Ithaca, NY 14853
Mailing address
107 Mack St
Groton, NY 13073-1354
Phone (607) 255-4237
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 |
|---|---|---|---|
| 000148-1 | NY | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811029275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MACK ST",
"city": "GROTON",
"state": "NY",
"postal_code": "130731354",
"telephone_number": "607-255-4237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TEAGLE HALL",
"address_2": "CAMPUS RD.",
"city": "ITHACA",
"state": "NY",
"postal_code": "14853",
"telephone_number": "607-255-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARLATA",
"first_name": "CHRIS",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000148-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.