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Active NPI 1558803551 Individual Practitioner Male Practitioner

Michael Distefano , MA, ATC, CSCS, PES

Specialist/Technologist - Athletic Trainer • Storrs, CT

Professional Overview & Biography Verified Profile Summary

Michael Distefano, MA, ATC, CSCS, PES is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Storrs, CT. Practice services are available at 9 DOG LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9 Dog Ln
Suite 108

Storrs, CT 062682239

Telephone 8604290899
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Storrs, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Storrs, CT (638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License CT 000608

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Shea Frady

Physical Therapist - Orthopedic

NPI 1003646084
Amy Sieczkowski , PT

Physical Therapist

NPI 1093991333

Physical Therapist

NPI 1104304815

Physical Therapist, Doctor of Physical Therapy

Mary Walsh-Scott , PT

Physical Therapist

NPI 1124356845

Physical Therapist

Paula Dombek

Specialist/Technologist - Athletic Trainer

NPI 1164614673
Dr. Michael Costello , DPT

Physical Therapist

NPI 1255098968

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2016

Registered at 9 DOG LN, SUITE 108, STORRS, CT 062682239 (Tel: 8604290899)

📍
Updated Business Mailing Address November 08, 2016

Registered at 90 JONATHAN LN, STORRS MANSFIELD, CT 062682775

👤
Provider Name / Credentials Updated November 08, 2016

Recorded as MICHAEL DISTEFANO, MA, ATC, CSCS, PES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2016

Specialist/Technologist (License #000608 in CT)

🟢
Initial NPI Registration & Enumeration November 08, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558803551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2016
Last Update: November 08, 2016
Sole Proprietor: No

Mailing Address

90 Jonathan Ln

Storrs Mansfield, CT 062682775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.