Individual provider Active NPI

Emily Maria Giorgi, LAT, ATC

  • Athletic Trainer
  • Fort Wayne, IN
National Provider Identifier
1265093280
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36003054A Issued in IN
Practice address
2101 E Coliseum Blvd Ste 100
Fort Wayne, IN 46805-1499
Phone
(260) 481-6656
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36003054A IN Primary

Addresses

Primary practice location

2101 E Coliseum Blvd Ste 100
Fort Wayne, IN 46805-1499

Mailing address

4545 Pimlico Dr Unit 201
Fort Wayne, IN 46845-2091
Phone (916) 822-1338

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
36003054AINMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1265093280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 PIMLICO DR UNIT 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468452091",
            "telephone_number": "916-822-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E COLISEUM BLVD STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051499",
            "telephone_number": "260-481-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORGI",
        "first_name": "EMILY",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003054A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.