MR. KYLE JEFFREY KOSTYUN (NPI# 1710910013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710910013 |
| Entity Type | Individual |
| Full Name | MR. KYLE JEFFREY KOSTYUN |
| Credential | ATC |
| Practice Address |
399 Farmington Ave 3rd Floor Farmington CT 06032-1936 |
| Mailing Address |
221 Hollister Dr Avon CT 06001-2934 |
| Practice Telephone | 8602840235 |
| Practice Fax Number | 8602840221 |
| Mailing Telephone | 8134165546 |
| Mailing Fax Number | 0000000000 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
010602021 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NATA MEMBER NUMBER | 995586 | 01 |
| Street Address |
399 FARMINGTON AVE 3RD FLOOR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321461 | Charles Leonard Castiglione | Plastic Surgery | 399 Farmington Ave, Suite 210, Farmington, CT 06032-1936 | 2005-07-28 |
| 1336777861 | Danielle Novak | Physical Medicine & Rehabilitation | 399 Farmington Ave, Farmington, CT 06032-1936 | 2020-03-30 |
| 1699136747 | Regina Kostyun | Specialist | 399 Farmington Ave, Suite 300, Farmington, CT 06032 | 2016-03-17 |
| 1093193161 | Girish Chintamani Mohan | Dermatology | 399 Farmington Ave, Ste 260, Farmington, CT 06032-1979 | 2015-05-11 |
| 1417365768 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 399 Farmington Ave, Farmington, CT 06032-1936 | 2014-07-31 |
| 1457604001 | Hartford Healthcare Medical Group, Inc. | Urology | 399 Farmington Ave, Ste. 200, Farmington, CT 06032-1936 | 2012-10-19 |
| 1043568249 | Orthopedic Associates of Hartford,pc | Orthopaedic Surgery | 399 Farmington Ave, Suite 110, Farmington, CT 06032-1936 | 2012-08-17 |
| 1346520228 | Hartford Clinical Associates, PC | Urology | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2011-08-23 |
| 1780824581 | Leah W Bassin | Surgery | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2009-03-06 |
| 1679718175 | Ryan P. Dorin | Urology | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2008-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437646577 | Adam Barry Cunningham | Specialist/Technologist | 1271 N 760 W, Farmington, UT 84025-3830 | 2018-04-14 |
| 1528591906 | Monique Marcelino | Specialist/Technologist | 373 Colt Hwy, Farmington, CT 06032 | 2017-04-04 |
| 1306215769 | Jenna Ratka | Specialist/Technologist | 5889 King Hill Dr, Farmington, NY 14425 | 2015-09-16 |
| 1013348275 | Karin Krzal | Specialist/Technologist | 163 High St, Farmington, ME 04938-1942 | 2013-12-12 |
| 1225259401 | Kristin E. Richardson | Specialist/Technologist | 42 Old Tate Lane, Farmington, NH 03835 | 2007-05-02 |
| 1679601462 | Janice Watkeys | Specialist/Technologist | 31967 Lamar St, Farmington, MI 48336-2425 | 2007-03-01 |
| 1285651224 | Melynda Brenton | Specialist/Technologist | 2200 N Sunset Ave, Farmington, NM 87401-3421 | 2006-07-16 |
| 1245297845 | Christopher Allen Blake | Specialist/Technologist | Uchc; Marb Building 263 Farmington Ave, Farmington, CT 06030-0001 | 2006-04-27 |
| 1306811542 | Trevor Farentino Carter | Specialist/Technologist | 155 Rob St, Farmington, AR 72730-3054 | 2006-02-21 |
| 1609854694 | Brian N Lewton | Specialist/Technologist | 270 Farmington Ave, Suite 174, Farmington, CT 06032-1909 | 2006-01-09 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
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| 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.