MR. ANTHONY JOHN CANNAVO JR.


Address: 250 Torringford St, Winsted, CT 06098-2084
Phone: 8606893782

MR. ANTHONY JOHN CANNAVO JR. (NPI# 1154316768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154316768
Entity Type Individual
Full Name MR. ANTHONY JOHN CANNAVO JR.
Credential A.T.C.
Practice Address 250 Torringford St
Winsted
CT 06098-2084
Practice Telephone 8606893782
Mailing Telephone 8606893782
Enumeration Date 2005-09-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
CT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 250 TORRINGFORD ST
City WINSTED
State CT
Zip Code 06098-2084

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NPI Name Taxonomy Address Enumeration
1548354012 William P Ryan Dentist 10 Hinsdale Ave, Winsted, CT 06098 2006-10-02
1417966078 Mark E Stefanov Dentist 17 Union St, Winsted, CT 06098 2006-08-05
1154354256 Theodore Francis Marolda Dentist 16 Hinsdale Ave, Winsted, CT 06098 2006-07-09
1407354095 Northwestern Dental Dentist 101 North Main Street, Winsted, CT 06098 2018-01-29
1588187348 Walgreen Co Durable Medical Equipment & Medical Supplies 200 New Hartford Rd, Winsted, CT 06098 2017-07-24
1093909871 David R Lawrence Md LLC Internal Medicine 200 New Hartford Rd, Winsted, CT 06098 2007-09-05
1487792305 Kim Marie Wasko Dentist 140 Willow St, Ste 2, Winsted, CT 06098 2007-02-02
1306852736 David Robert Lawrence Internal Medicine 200 New Hartford Rd, Winsted, CT 06098 2006-07-31
1053374348 Carol Hahn Physical Therapist 115 Spencer St, Winsted, CT 06098 2006-04-09
1245396282 Ruth P Lallier Social Worker 214 Wallens Hill, Winsted, CT 06098-0098 2006-12-27
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

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1770183030 Adrienne Lara Fedyna Dembeck Specialist/Technologist 211 New Britain Rd Ste 101, Berlin, CT 06037-3167 2020-10-27
1194324665 Francesca Chirico Specialist/Technologist 34 Farms Village Rd, Simsbury, CT 06070-2344 2020-10-25
1497354401 Brandon Hallaway Specialist/Technologist 2098 Hillside Rd, Storrs, CT 06268 2020-10-21
1427657816 Riley J Burns Specialist/Technologist 49 Farrell Rd, Newtown, CT 06470-1205 2020-10-18
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1720686215 Liana Suarez Specialist/Technologist 31 Yates St, West Haven, CT 06516-1142 2020-10-15
1598363095 Shayna Deluca Specialist/Technologist 178 New State Rd Apt 8, Manchester, CT 06042-7941 2020-10-15
1376150045 Anna E Viscuso Specialist/Technologist 201 Regan Rd Apt 35a, Vernon Rockville, CT 06066-2861 2020-09-28
1881200962 Keenan Thomas Love Specialist/Technologist 80 Shunpike Rd Unit 202, Cromwell, CT 06416-4402 2020-09-23
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Competitor

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City WINSTED
Zip Code 06098

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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