Active NPI
Jerry Lee Lloyd Jr., AT
- Athletic Trainer
- Phoenix, AZ
National Provider Identifier
1104103829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0210
- Practice address
- 444 W Osborn Rd
Suite 303
Phoenix, AZ 85013-3814 - Phone
- (602) 279-8022
- NPI assigned
- Nov 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 0210 | AZ | Primary |
Addresses
Primary practice location
444 W Osborn Rd
Suite 303
Phoenix, AZ 85013-3814
Mailing address
4138 N 47TH St
Phoenix, AZ 85018-4313
Phone (602) 952-1508
Other names 1
- Mr. Sam Lloyd
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strength Training Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1104103829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4138 N 47TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850184313",
"telephone_number": "602-952-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 W OSBORN RD",
"address_2": "SUITE 303",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133814",
"telephone_number": "602-279-8022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD",
"first_name": "JERRY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "AT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-09",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAM",
"last_name": "LLOYD",
"prefix": "MR.",
"credential": "AT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.