Maria Delliveneri, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104.0066351 Issued in VT

Practice address

4740 Main St
Waitsfield, VT 05673

Phone

(518) 527-3725

NPI assigned

Jun 17, 2009

Last updated

Jul 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1821225855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 MAIN ST",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056734407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 MAIN ST",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "05673",
            "telephone_number": "518-527-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLIVENERI",
        "first_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001728",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0066351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Art Roots, PLC
• Back to Action Physical Therapy PLC
• Pamela Sue Barnard, PT
• Michael Checkoff, EDD
• Francis W Cook, M.D.
• Katrina Fennelly, CMHC
• Gary Frankel, LICSW
• Ellen B. Gluckman, MA
• Jessie Graham, M.S., CCC-SLP
• Joseph D Grant, PT ATC EDM

• Athletic Trainer in Waitsfield, VT
• Providers in Waitsfield, VT by specialty
• Athletic Trainer in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.