Jillian Annette Pitt, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000715 Issued in MI

Practice address

4949 Coolidge Hwy
Royal Oak, MI 48073-1026

Phone

(248) 655-5700

Fax

(248) 655-5701

NPI assigned

Jul 10, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jillian Annette Sanborn Former name

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1073009312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 BENJAMIN AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732271",
            "telephone_number": "989-709-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 COOLIDGE HWY",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731026",
            "telephone_number": "248-655-5700",
            "fax_number": "248-655-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "JILLIAN",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "SANBORN",
            "middle_name": "ANNETTE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Carol Pinkston
• Edith Piot, CRNA
• Karen Piper, CRNA
• Rachel Ann-Bohn Pippin, MA, ATR, LPC
• Dorothy Piton, PA
• Robyn Lafrance Pitts, WHNP-C
• Daniel J Piziali, MD
• Alexys Pizzo, LMT
• Victoria Pizzuti
• Planned Care Solutions, LLC

• Athletic Trainer in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.