Active NPI
Richard Blyn, MS, A.T.,C.
- Athletic Trainer
- Holliston, MA
National Provider Identifier
1821494329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 16 Everett St
Holliston, MA 01746-2061 - Phone
- (508) 579-3013
- NPI assigned
- Nov 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | MA | Primary |
Addresses
Primary practice location
16 Everett St
Holliston, MA 01746-2061
Mailing address
7 Celestial Cir
Milford, MA 01757-5102
Phone (508) 579-3013
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1821494329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CELESTIAL CIR",
"city": "MILFORD",
"state": "MA",
"postal_code": "017575102",
"telephone_number": "508-579-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 EVERETT ST",
"city": "HOLLISTON",
"state": "MA",
"postal_code": "017462061",
"telephone_number": "508-579-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYN",
"first_name": "RICHARD",
"credential": "MS, A.T.,C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holliston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.