Active NPI
Brandon Leone Austin, ATC, LAT, EMT
- Athletic Trainer
- New Britain, CT
National Provider Identifier
1891426953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001632
- Practice address
- 1615 Stanley St
New Britain, CT 06050-2439 - Phone
- (860) 832-3086
- NPI assigned
- Jun 20, 2022
- 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 | 001632 | CT | Primary |
Addresses
Primary practice location
1615 Stanley St
New Britain, CT 06050-2439
Mailing address
65 Dixie Ave
Waterbury, CT 06706-1602
Phone (203) 598-2184
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 |
|---|---|---|---|
| 001632 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1891426953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 DIXIE AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061602",
"telephone_number": "203-598-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 STANLEY ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060502439",
"telephone_number": "860-832-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "BRANDON",
"middle_name": "LEONE",
"credential": "ATC, LAT, EMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-20",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CT",
"license": "001632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.