MRS. CARRIE LYNN DEISENROTH


Address: 25 Marlboro Rd, Southborough, MA 01772-1207
Phone: 5087866144

MRS. CARRIE LYNN DEISENROTH (NPI# 1336292440) 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) 1336292440
Entity Type Individual
Full Name MRS. CARRIE LYNN DEISENROTH
Credential ATC
Practice Address 25 Marlboro Rd
Southborough
MA 01772-1207
Practice Telephone 5087866144
Practice Fax Number 5087866139
Mailing Telephone 5087866144
Mailing Fax Number 5087866139
Enumeration Date 2007-01-19
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
67 000457 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
1072 MA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 25 MARLBORO RD
City SOUTHBOROUGH
State MA
Zip Code 01772-1207

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043854391 Hiral Patel Pharmacist 150 Northnoro Road, Suite 4, Southborough, MA 01772 2019-10-30
1588188544 Jennifer Foran Behavior Technician 33 Turnkpike Road, Southborough, MA 01772 2017-08-01
1588184402 Lise Mary Gallo Behavioral Analyst 16 Clifford St, Southborough, MA 01772 2017-06-21
1437508322 Kristen Lomker Pharmacist 155 Northborough Rd, Southboro, MA 01772 2016-06-10
1679841829 Scott Adam Canter Acupuncturist 64 William Onthank Lane, Southborough, MA 01772 2011-12-02
1396966206 Umer Sayeed Shah Surgery 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 2007-05-01
1982636411 Armineh Mirzabegian Internal Medicine Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 2006-07-07
1336197508 Lisa M Hassler Pediatrics 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 2006-05-04
1295714640 Robin K Morgan Physical Therapist 28 Newton St, Southborough, MA 01772 2006-01-13
1528562998 Emily Marie Bagley Student in an Organized Health Care Education/Training Program 33 Turnpike Rd, Southborough, MA 01772 2018-03-21
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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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699803957 Jeffrey James Farrell Specialist/Technologist 48 Main St, Southborough, MA 01772-1509 2007-03-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184225682 Jacob Hebert Specialist/Technologist 177 Wenonah Rd, Longmeadow, MA 01106-1929 2020-11-03
1700486693 Mark Comstock Specialist/Technologist 74 Union Park St, Boston, MA 02118-2142 2020-10-29
1962000422 Allison Damigella Specialist/Technologist 20 Cobblestone Ln, Bridgewater, MA 02324-2277 2020-10-15
1669088712 Ryan Donovan Specialist/Technologist 4 Paul Ave, Peabody, MA 01960-2620 2020-09-23
1619583119 Seth Travers Specialist/Technologist 179 Wimbleton Dr, Longmeadow, MA 01106-2744 2020-09-20
1306451091 Stephanie Wilson Specialist/Technologist 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 2020-09-10
1467067116 Devon Choi Specialist/Technologist Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 2020-09-10
1295349140 Katelyn Charlotte Richardson Specialist/Technologist 2002 Lords Ct, Wilmington, MA 01887-4514 2020-09-08
1386256360 William Conrad Desjardins Specialist/Technologist 20 Manhattan Dr, Burlington, MA 01803-1905 2020-08-20
1942812128 Samantha Norman Kheboian Specialist/Technologist 71 Lakeshore Ave, Beverly, MA 01915-1907 2020-08-19
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Competitor

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City SOUTHBOROUGH
Zip Code 01772

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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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