Terrill Da Vitoria Lobo, LAT, ATC, CAT(C)

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0506294 Issued in NV

Practice address

401 Ryland St Ste 200a
Reno, NV 89502-1643

Phone

(702) 354-3279

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kinergy Sports Medicine and Performance LLC

  • Athletic Trainer
  • Reno, NV
  • NPI 1740938570
  NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1104438217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RYLAND ST STE 200A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021643",
            "telephone_number": "702-354-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RYLAND ST STE 200A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021643",
            "telephone_number": "702-354-3279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6775 Edmond St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891183502",
            "country_code": "US",
            "telephone_number": "702-461-5346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DA VITORIA LOBO",
        "first_name": "TERRILL",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC, CAT(C)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas D'Agostino, PT
• Arika D'Amico
• Cassidy D'Amour, LCSW
• James Anthony D'Andrea, PH.D.
• Gabrielle Leigh D'Armond, PT, DPT
• Carol J Daake, RN MSN APN
• John W. Daake, M.D.
• Dawn Dabler
• Megan R Dado
• Mhervin Dagdagan, APRN, FNP-BC

• Athletic Trainer in Reno, NV
• Providers in Reno, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.