MEDICARE: JOHN T SHLIAPA ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	1918	MA

General Provider Information

NPI Number	:	1700039401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN T SHLIAPA ATC

Provider Business Mailing Address
First Line	:	274 SAINT NICHOLAS AVE
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01606-1811
Country	:	US
Telephone Number	:	508-849-3595
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 SUNSET LN
Second Line	:
City	:	PAXTON
State	:	MA
Zip	:	01612-1106
Country	:	US
Telephone Number	:	508-849-3595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	10/28/2008

Similar Medicare Providers

1225067622 — MR. RAYMOND W LE BOEUF JR. ATC,L
Practice Location Address:

50 SUNSET LN
PAXTON, MA
01612-1106

Practice Phone: 508-849-3448
Practice Fax: 508-849-3449

1629714290 — SHARONA MALLACH ATC
Practice Location Address:

50 SUNSET LN
PAXTON, MA
01612-1106

Practice Phone: 508-849-3595
Practice Fax:

1508827841 — ARCHANA LAVANA DMD
Practice Location Address:

581 PLEASANT ST
PAXTON, MA
01612-1382

Practice Phone: 508-755-2905
Practice Fax: 508-798-8155

1902827488 — THUY LE O.D.
Practice Location Address:

29 LANCELOT DR
PAXTON, MA
01612-1261

Practice Phone: 508-363-3937
Practice Fax: 508-363-3938

1992862833 — MRS. LENORE ANN RUST LICSW
Practice Location Address:

50 SUNSET LN
PAXTON, MA
01612

Practice Phone: 508-849-3293
Practice Fax:

1255483509 — DR. NIKHIL LAVANA D.M.D
Practice Location Address:

581 PLEASANT ST
PAXTON, MA
01612-1382

Practice Phone: 508-755-2905
Practice Fax: 508-798-8155

Directions to “ JOHN T SHLIAPA ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.