Individual provider Active NPI

Lyle Thomas Danley, MS, LAT, ATC

  • Athletic Trainer
  • Scarsdale, NY
National Provider Identifier
1053786616
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
004535 Issued in NY
Practice address
693 White Plains Rd
Scarsdale, NY 10583
Phone
(914) 787-3286
NPI assigned
Dec 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AZ
Athletic Trainer 2255A2300X AT5928 TX
Phlebotomy Technician 246RP1900X
Athletic Trainer 2255A2300X 004535 NY Primary

Addresses

Primary practice location

693 White Plains Rd
Scarsdale, NY 10583

Mailing address

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-3286

Other practice location 1

155 White Plains Rd
Tarrytown, NY 10591-5523
Phone (914) 787-3286

Other practice location 2

51 W 51st St Ste 370
New York, NY 10019-1918
Phone (914) 787-3286

Other practice location 3

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-3286

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
004535NYMDFoot & Ankle Surgery Podiatrist
AT5928TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1053786616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PALMER AVE",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083403",
            "telephone_number": "914-787-3286",
            "fax_number": "914-787-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 WHITE PLAINS RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-787-3286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 White Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "105915523",
            "country_code": "US",
            "telephone_number": "914-787-3286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 W 51st St Ste 370",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191918",
            "country_code": "US",
            "telephone_number": "914-787-3286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Palmer Ave",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107083403",
            "country_code": "US",
            "telephone_number": "914-787-3286",
            "fax_number": "914-787-2246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANLEY",
        "first_name": "LYLE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MS, LAT,  ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2023-02-03",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5928",
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "004535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.