The Training Room- Athlete Recovery and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE TRAINING ROOM- ATHLETE RECOVERY AND WELLNESS, LLC

Practice address

280 Route 130 Unit A9
Sandwich, MA 02563-2363

Phone

(914) 523-6864

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Jillian Decuffa, ATCNPI 1285201772

Title

Owner

Phone

(914) 523-6864

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jillian Decuffa, ATC

  • Athletic Trainer
  • Plymouth, MA
  • NPI 1285201772
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1902581929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 POKONOKET RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023601924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ROUTE 130 UNIT A9",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025632363",
            "telephone_number": "914-523-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRAINING ROOM- ATHLETE RECOVERY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "DECUFFA",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-523-6864",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Mulcahy Sylvia, CPNP
• Jeffrey Taylor
• The Center for Expressive Therapy and Mental Health Counseling
• The Sandwich Center, Inc.
• The Stop & Shop Supermarket Company, LLC
• Cameron Nicholas Thirkell, RPH
• Tigereye LLC
• Caitlin Lee Tobias, LICSW
• Nicole Tompkins-Hughes
• Helen Toomey

• Physical Therapist in Sandwich, MA
• Providers in Sandwich, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.