Michael L Landsberg, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

104-0000019 Issued in VT

Practice address

30 Hawthorne St
Williston, VT 05495-8212

Phone

(802) 861-0111

Fax

(802) 861-2812

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1902891708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BRICKYARD RD",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524346",
            "telephone_number": "802-872-0027",
            "fax_number": "802-861-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HAWTHORNE ST",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958212",
            "telephone_number": "802-861-0111",
            "fax_number": "802-861-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDSBERG",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104-0000019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brynn Kusiak, PT
• Ilya Kvartin, DMD
• Elizabeth R Ladd, RN
• Smita Lahoti, M.B.B.S.
• Lakeshore Hand Surgery PLLC
• Carolyn Christina Larabee, BCBA, LBA
• Michele Diane Lareau, PA-C
• Amanda Lynn Larose
• Paula Larose, PT
• Sharon Leach, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.