Individual provider Active NPI

Lawrence J Discenza, ATC

  • Athletic Trainer
  • Avon, CT
National Provider Identifier
1982842431
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
31 A Ensign Drive
Avon, CT 06001
Phone
(860) 409-9125
Fax
(860) 674-8031
NPI assigned
Jan 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CT Primary

Addresses

Primary practice location

31 A Ensign Drive
Avon, CT 06001

Mailing address

31 A Ensign Drive
Avon, CT 06001
Phone (860) 409-9125

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Physical Therapy and Sports Medicine, LLC Past Accepting new patients
The Perfect Workout PastSince Nov 1, 2012 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1982842431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 A ENSIGN DRIVE",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-409-9125",
            "fax_number": "860-674-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 A ENSIGN DRIVE",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-409-9125",
            "fax_number": "860-674-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCENZA",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.