Maximilian Mita, ATC
Specialist/Technologist, Athletic Trainer in Worcester, Massachusetts
1821546144- Practice location
- 1 College St, Worcester, MA 01610-2322
- Phone
- 508-468-7612
- Fax
- —
- Last updated
- September 15, 2016
Maximilian Mita is a Specialist/Technologist, Athletic Trainer based in Worcester, MA. Maximilian Mita practices in Worcester, MA and has the professional credentials of ATC. The NPI Number for Maximilian Mita is 1821546144 and holds a License No. 2903 (MA). The current practice location address for Maximilian Mita is 1 College St, Worcester, MA 01610-2322 and can be reached out via phone at 508-468-7612.
Provider Profile Details
- NPI Number
- 1821546144
- Provider Name
- Maximilian Mita
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 College St, Worcester, MA 01610-2322
- Phone Number
- 508-468-7612
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 15, 2016
- Last Update Date
- September 15, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 College St
Worcester, MA 01610-2322 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610-2322
- Phone Number
- 508-468-7612
Provider Business Mailing Address Details
- Address
- 1 College St
Worcester, MA 01610-2322 - City
- Worcester
- State
- MA
- Zip
- 01610-2322
- Phone Number
- 508-468-7612
License Information
- License Number
- 2903
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Maximilian Mita, ATC?
The NPI number of Maximilian Mita, ATC is 1821546144. It was assigned on September 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Maximilian Mita, ATC?
Maximilian Mita, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2903.
Where does Maximilian Mita, ATC practice?
The practice location is 1 College St, Worcester, MA 01610-2322. The office can be reached at 508-468-7612 (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 1821546144 directly on the NPPES registry website.