Active NPIIndividual providerSole proprietor

Donovan Martire, ATC, LAT

Specialist/Technologist, Athletic Trainer in Waterbury, Connecticut

NPI Number1619622826
Practice location
800 Country Club RD, Waterbury, CT 06708-3240
Fax
—
Last updated
October 26, 2022

Donovan Martire is a Specialist/Technologist, Athletic Trainer based in Waterbury, CT. Donovan Martire practices in Waterbury, CT and has the professional credentials of ATC, LAT. The NPI Number for Donovan Martire is 1619622826. The current practice location address for Donovan Martire is 800 Country Club RD, Waterbury, CT 06708-3240 and can be reached out via phone at 732-221-5884.

Provider Profile Details

NPI Number
1619622826
Provider Name
Donovan Martire
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Male
Address
800 Country Club RD, Waterbury, CT 06708-3240
Phone Number
732-221-5884
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 16, 2022
Last Update Date
October 26, 2022
Certification Date
February 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Country Club RD
Waterbury, CT 06708-3240
Zip
06708-3240
Phone Number
732-221-5884
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
800 Country Club RD
Waterbury, CT 06708-3240
City
Waterbury
State
CT
Zip
06708-3240
Phone Number
732-221-5884

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Donovan Martire, ATC, LAT?

The NPI number of Donovan Martire, ATC, LAT is 1619622826. It was assigned on February 16, 2022 and is currently active in the NPPES registry.

What is the specialty of Donovan Martire, ATC, LAT?

Donovan Martire, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Donovan Martire, ATC, LAT practice?

The practice location is 800 Country Club RD, Waterbury, CT 06708-3240. The office can be reached at 732-221-5884 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619622826 directly on the NPPES registry website.

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