Active NPI
Kyle E Liang, ATC
- Athletic Trainer
- Cortland, NY
National Provider Identifier
1154976249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001900-1
- Practice address
- 1 Folmer Drive
Cortland, NY 13045 - Phone
- (315) 272-8167
- NPI assigned
- Aug 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001900-1 | NY | Primary |
Addresses
Primary practice location
1 Folmer Drive
Cortland, NY 13045
Mailing address
137 Village Ter # D137
Cortland, NY 13045-3411
Phone (315) 272-8167
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | PointandClick |
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 |
|---|---|---|---|
| 001900-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1154976249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 VILLAGE TER # D137",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130453411",
"telephone_number": "315-272-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FOLMER DRIVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "13045",
"telephone_number": "315-272-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "KYLE",
"middle_name": "E",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001900-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "PointandClick",
"affiliation": "N",
"endpointDescription": "EMR",
"address_1": "1 Folmer Drive",
"city": "Cortland",
"state": "NY",
"country_code": "US",
"postal_code": "13045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.