STEPHANIE MAZEROLLE


Address: 2095 Hillside Rd, Unit 1110 Department of Kinesiology, Storrs, CT 06269-1110
Phone: 8604864536

STEPHANIE MAZEROLLE (NPI# 1912384272) 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) 1912384272
Entity Type Individual
Full Name STEPHANIE MAZEROLLE
Credential PHD, ATC
Practice Address 2095 Hillside Rd
Unit 1110 Department of Kinesiology
Storrs
CT 06269-1110
Mailing Address 41 Whitney Rd
Columbia
CT 06237-1034
Practice Telephone 8604864536
Practice Fax Number 8604861123
Mailing Telephone 8606084184
Enumeration Date 2015-05-06
Last Update Date 2015-05-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
000205 CT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2095 HILLSIDE RD
UNIT 1110 DEPARTMENT OF KINESIOLOGY
City STORRS
State CT
Zip Code 06269-1110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548223696 James William Doran Jr. Specialist/Technologist 2095 Hillside Rd, Unit 3078, Storrs, CT 06269-3078 2006-04-10
1225274798 Robert Huggins Specialist/Technologist 2095 Hillside Rd, Unit 1110, Storrs, CT 06269-1090 2009-01-05
1740243468 Christopher Mathew Hagemann Specialist/Technologist 2095 Hillside Rd, Unit 3078, Storrs, CT 06269-9017 2006-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013422955 Kathleen Martin Specialist/Technologist 505 Jim Calhoun Way, Storrs Mansfield, CT 06269 2017-12-13
1295254340 Siobhan Ashley Gaston Nurse Practitioner 337 Mansfield Rd Unit 1255, Storrs, CT 06269 2017-09-10
1275058802 Erika Lindsey Vuernick Pharmacist 69 N Eagleville Rd Unit 3092, Storrs, CT 06269 2017-08-04
1831722081 Kirsty Coulter Student in an Organized Health Care Education/Training Program 406 Unit 1020 Babbidge Rd, Storrs, CT 06269-0001 2020-02-17
1275175465 Rolando Rivera Student in an Organized Health Care Education/Training Program Storrs Connecticut, Storrs, CT 06269-0001 2019-10-09
1679050744 Noelle Marie Delorme Audiologist U-1085 Bolton Road, Storrs, CT 06269-0001 2018-07-23
1487155248 Andres Tomas Almeraya Specialist/Technologist 2110 Hillside Rd #1078r, Storrs, CT 06269-0001 2018-02-26
1184152795 Hayley O'connell Specialist/Technologist Uconn, Storrs, CT 06269-0001 2017-05-25
1376691550 Kristine Poet Ridyard Nurse Practitioner University of Ct Student Health Services, 234 Glenbrook Drive Unit 2011, Storrs Mansfield, CT 06269-0001 2007-01-06
1871524280 Martha S Sternberg Pediatrics Uconn Student Health Services, 234 Glenbrook Road, Storrs Mansfield, CT 06269-0001 2006-07-05
Find all providers in zip 06269

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
1497354401 Brandon Hallaway Specialist/Technologist 2098 Hillside Rd, Storrs, CT 06268 2020-10-21
1417598665 Dante Gabriel Vittor Specialist/Technologist 12 Royce Cir, Storrs, CT 06268-2297 2019-09-30
1649839168 Gyujin Kim Specialist/Technologist 2095 Hillside Rd # U-1110, Storrs, CT 06269-1110 2019-06-08
1720568686 Adam Scott Lepley Specialist/Technologist 3107 Horsebarn Hill Rd Unit 4137, Storrs, CT 06269-4137 2018-08-20
1326528852 Ed Blair Specialist/Technologist 2111 Hillside Rd Unit 3204, Storrs, CT 06269-9179 2018-08-15
1659862035 Megan Ashley Barry Specialist/Technologist 2111 Hillside Rd Unit 1078, Storrs, CT 06269-1078 2018-05-22
1487155248 Andres Tomas Almeraya Specialist/Technologist 2110 Hillside Rd #1078r, Storrs, CT 06269-0001 2018-02-26
1053840678 Catie Dann Specialist/Technologist 2095 Hillside Rd # U-1173, Storrs, CT 06269-1110 2017-06-07
1184152795 Hayley O'connell Specialist/Technologist Uconn, Storrs, CT 06269-0001 2017-05-25
1982050019 Steven Taylor Gerhart Specialist/Technologist 505 Jim Calhoun Way, Storrs, CT 06268-1728 2016-05-07
Find all providers in STORRS

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City STORRS
Zip Code 06269

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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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