Active NPI
Brigit Loud, ATC
- Athletic Trainer
- East Syracuse, NY
National Provider Identifier
1225215239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001515
- Practice address
- 6319 Fly Rd
Suite 4
East Syracuse, NY 13057-9326 - Phone
- (315) 410-0060
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- 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 | 001515 | NY | Primary |
Addresses
Primary practice location
6319 Fly Rd
Suite 4
East Syracuse, NY 13057-9326
Mailing address
225 Highbridge St
Apt 4
Fayetteville, NY 13066-1907
Phone (315) 857-1085
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 |
|---|---|---|---|
| 001515 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | 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.
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1225215239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 HIGHBRIDGE ST",
"address_2": "APT 4",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661907",
"telephone_number": "315-857-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6319 FLY RD",
"address_2": "SUITE 4",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579326",
"telephone_number": "315-410-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUD",
"first_name": "BRIGIT",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.