MRS. CARRIE LYNN DEISENROTH ATC
NPI 1336292440
Specialist/Technologist - Athletic Trainer in Southborough, MA

Active since January 19, 2007
25 MARLBORO RD, SOUTHBOROUGH, MA 01772(508) 786-6144(508) 786-6139 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Carrie Lynn Deisenroth Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CARRIE LYNN DEISENROTH ATC (NPI 1336292440) is an individual athletic trainer provider in Southborough, Massachusetts, licensed in Massachusetts (1072) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1336292440
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. CARRIE LYNN DEISENROTHCredential: ATC
Location Address25 MARLBORO RDSouthborough, MA 01772-1207
Mailing Address25 Marlboro RdSouthborough, MA 01772-1207 · (508) 786-6144 · Fax (508) 786-6139
Fax(508) 786-6139
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1336292440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Licenses Licensed in MA · 1072 Licensed in NY · 67 000457
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.
25 MARLBORO RD, Southborough, MA 01772

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
25 MARLBORO RD
SOUTHBOROUGH, MA 01772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrie Deisenroth's NPI number?

The NPI number for Carrie Deisenroth is 1336292440. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Carrie Deisenroth located?

Carrie Deisenroth practices at 25 Marlboro Rd, Southborough, MA 01772. The listed phone number is (508) 786-6144.

What is Carrie Deisenroth's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Carrie Deisenroth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.