Active NPI
Gregory Alan Houtz, ATC
- Athletic Trainer
- Glen Mills, PA
National Provider Identifier
1003997792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT000780A
- Practice address
- 552 Smithbridge Rd
Garnet Valley High School
Glen Mills, PA 19342-1558 - Phone
- (610) 579-7757
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT000780A | PA | Primary |
Addresses
Primary practice location
552 Smithbridge Rd
Garnet Valley High School
Glen Mills, PA 19342-1558
Mailing address
128 Stonebridge LN
Downingtown, PA 19335-5507
Phone (610) 269-2263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT000780A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003997792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 STONEBRIDGE LN",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193355507",
"telephone_number": "610-269-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 SMITHBRIDGE RD",
"address_2": "GARNET VALLEY HIGH SCHOOL",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421558",
"telephone_number": "610-579-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUTZ",
"first_name": "GREGORY",
"middle_name": "ALAN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT000780A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.