Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS KIMBERLY A. DIVINCENZO ATC
NPI 1417914854
Specialist/Technologist - Athletic Trainer in Glastonbury, CT

Q: What is Kimberly Divincenzo's NPI number?

The NPI number for Kimberly Divincenzo is 1417914854. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Kimberly Divincenzo's specialty?

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

Active since April 28, 2006

2345 MAIN ST, GLASTONBURY, CT 06033(860) 633-5572 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Miss Kimberly A. Divincenzo Atc NPPES

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

MISS KIMBERLY A. DIVINCENZO ATC (NPI 1417914854) is an individual athletic trainer provider in Glastonbury, Connecticut, licensed in New York (000561-1) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1417914854

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMISS KIMBERLY A. DIVINCENZOCredential: ATC

Location Address2345 MAIN STGlastonbury, CT 06033-2211

Mailing Address318 Wellington RdBuffalo, NY 14216-1915 · (716) 838-5892

Phone(860) 633-5572

Sole ProprietorNo

Enumeration DateApril 28, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1417914854 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 NY · 000561-1

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.

2345 MAIN ST, Glastonbury, CT 06033

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

MR. JAMES OWENQ EVANS ATC

Specialist/Technologist (Athletic Trainer)

2345 MAIN ST, HEALTHTRAX INC
GLASTONBURY, CT 06033

Capitol Planning Region (313) 972-6975

MR. MARK DAVID ROSS MS, ATC, CSCS

Specialist/Technologist (Athletic Trainer)

2345 MAIN ST, HEALTHTRAX INTERNATIONAL INC.
GLASTONBURY, CT 06033

Capitol Planning Region (716) 879-5023

MARK W SARAULT ATC,AT/L

Specialist/Technologist (Athletic Trainer)

2345 MAIN ST
GLASTONBURY, CT 06033

Capitol Planning Region (860) 633-5572

TRACI JO HUBBARD ATC

Specialist/Technologist (Athletic Trainer)

2345 MAIN ST
GLASTONBURY, CT 06033

Capitol Planning Region (860) 633-5572

SALLY A BURGESS

Physical Therapist

2345 MAIN ST
GLASTONBURY, CT 06033

Capitol Planning Region (800) 998-0880

VICKI LYNN LAFAY PT

Physical Therapist

2345 MAIN ST
GLASTONBURY, CT 06033

Capitol Planning Region (315) 764-2439

ASHLEY M. MCELROY

Specialist/Technologist (Athletic Trainer)

2345 MAIN ST
GLASTONBURY, CT 06033

Capitol Planning Region (419) 784-7594

MS. DESIREE HILLMON ATC

Specialist/Technologist (Athletic Trainer)

2345 MAIN ST, HEALTHTRAX INTERNATIONAL INC
GLASTONBURY, CT 06033

Capitol Planning Region (800) 998-0800

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 Kimberly Divincenzo's NPI number?

The NPI number for Kimberly Divincenzo is 1417914854. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Kimberly Divincenzo located?

Kimberly Divincenzo practices at 2345 Main St, Glastonbury, CT 06033. The listed phone number is (860) 633-5572.

What is Kimberly Divincenzo'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 Kimberly Divincenzo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.