Philip Loyd, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-1054 Issued in MS

Practice address

1003 W Sunflower Rd
Cleveland, MS 38733-0002

Phone

(479) 459-1507

NPI assigned

Aug 30, 2016

Last updated

Apr 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1174079057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387330002",
            "telephone_number": "479-459-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387330002",
            "telephone_number": "479-459-1507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "72032",
            "country_code": "US",
            "telephone_number": "479-459-1507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E University",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "AR",
            "postal_code": "717532181",
            "country_code": "US",
            "telephone_number": "479-459-1507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Canyon",
            "state": "TX",
            "postal_code": "790162181",
            "country_code": "US",
            "telephone_number": "479-459-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOYD",
        "first_name": "PHILIP",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT846",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "AT-1054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.