Individual provider Active NPI

Caraline Gargiulo, ATC

  • Athletic Trainer
  • Greenwich, CT
National Provider Identifier
1245764109
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
67003088 Issued in NY
Practice address
6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone
(203) 869-1145
Fax
(203) 618-1721
NPI assigned
Apr 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1217 CT
Athletic Trainer 2255A2300X 67003088 NY Primary

Addresses

Primary practice location

6 Greenwich Office Park
Greenwich, CT 06831-5151

Mailing address

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Other practice location 1

5 High Ridge Park
Stamford, CT 06905-1332
Phone (203) 869-1145

Other practice location 2

5 High Ridge Park
Stamford, CT 06905-1332
Phone (203) 869-1145

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

LicenseStateTypeSpecialty
1217CTMDAthletic Trainer
67003088NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245764109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145",
            "fax_number": "203-618-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145",
            "fax_number": "203-618-1721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 High Ridge Park",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051332",
            "country_code": "US",
            "telephone_number": "203-869-1145",
            "fax_number": "203-869-2170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 High Ridge Park",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051332",
            "country_code": "US",
            "telephone_number": "203-869-1145",
            "fax_number": "203-869-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARGIULO",
        "first_name": "CARALINE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1217",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "67003088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.