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MR. GREGORY W SOUTHWORTH LATC MED
NPI 1396097275
Specialist/Technologist - Athletic Trainer in Palmer, MA

Active since October 03, 2012
240 SYKES ST, PALMER, MA 01069(413) 283-9701 Get Directions Write a Review

NPPES record last updated: October 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gregory W Southworth Latc Med NPPES

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

MR. GREGORY W SOUTHWORTH LATC MED (NPI 1396097275) is an individual athletic trainer provider in Palmer, Massachusetts, licensed in Massachusetts (115) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1396097275
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. GREGORY W SOUTHWORTHCredential: LATC MED
Location Address240 SYKES STPalmer, MA 01069-1225
Mailing Address240 Sykes StPalmer, MA 01069-1225 · (413) 283-9701
Phone(413) 283-9701
Sole ProprietorYes
Enumeration DateOctober 3, 2012
✔ NPI 1396097275 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
License✔ Licensed in MA · 115
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.
240 SYKES ST, Palmer, MA 01069
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Other Identifiers 3

Medicare PIN2255A2300XMA
Medicaid2255A2300XMA
Medicare OSCAR/certification2255A2300XMA

Other Providers at the Same Location NPPES

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

PATHFINDER REGIONAL VOCATIONAL HIGH SCHOOL DISTRICT
Local Education Agency (LEA)
240 SYKES ST
PALMER, MA 01069
Hampden County (413) 283-9701

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 Gregory Southworth's NPI number?

The NPI number for Gregory Southworth is 1396097275. It was assigned to this individual provider in the NPPES registry on October 3, 2012.

Where is Gregory Southworth located?

Gregory Southworth practices at 240 Sykes St, Palmer, MA 01069. The listed phone number is (413) 283-9701.

What is Gregory Southworth'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 Gregory Southworth was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.