Active NPI
Alan Gill, ATC, LAT, OTC
- Athletic Trainer
- Rockwall, TX
National Provider Identifier
1013390889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT3923
- Practice address
- 3611 Hawthorne TRL
None
Rockwall, TX 75032-9210 - Phone
- (972) 463-4313
- NPI assigned
- Jun 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT3923 | TX | Primary |
| Orthopedic Assistant | 246ZX2200X |
Addresses
Primary practice location
3611 Hawthorne TRL
None
Rockwall, TX 75032-9210
Mailing address
3611 Hawthorne TRL
None
Rockwall, TX 75032-9210
Phone (972) 463-4313
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 |
|---|---|---|---|
| AT3923 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1013390889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 HAWTHORNE TRL",
"address_2": "NONE",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750329210",
"telephone_number": "972-463-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 HAWTHORNE TRL",
"address_2": "NONE",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750329210",
"telephone_number": "972-463-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "ALAN",
"credential": "ATC, LAT, OTC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT3923",
"primary": true
},
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.