Gail Samdperil, EDD

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000230 Issued in CT

Practice address

398 Sound Beach Ave
Old Greenwich, CT 06870-2222

Phone

(203) 698-8869

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1003476367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 SOUND BEACH AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068702222",
            "telephone_number": "203-698-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 SOUND BEACH AVE",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068702222",
            "telephone_number": "203-698-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMDPERIL",
        "first_name": "GAIL",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AT BOC",
            "identifier": "010585",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@sacredheart.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "398 Sound Beach Ave",
            "city": "Old Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068702222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Romano, PT, DPT
• Burton Richard Rubin, M.D.
• Katherine Ryan, MS
• Yumi Sakaguchi
• Christopher Anthony Salvo, DDS
• Raymond Santa Jr., D.C.
• Nataliya Savchuk, PT, DPT
• Save the Milk Lactation Services
• Jessica Shapiro, RD, CDN
• Peter A Silver, O.D.

• Athletic Trainer in Old Greenwich, CT
• Providers in Old Greenwich, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.