Individual provider Active NPI

Giampietro Luciano Vairo, PHD, ATC

  • Athletic Trainer
  • University Park, PA
National Provider Identifier
1285606871
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT003136 Issued in PA
Practice address
146 J Recreation BLDG
The Pennsylvania State University
University Park, PA 16802
Phone
(814) 865-2725
Fax
(814) 865-1151
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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 25MT00128500 NJ
Athletic Trainer 2255A2300X RT003136 PA Primary

Addresses

Primary practice location

146 J Recreation BLDG
The Pennsylvania State University
University Park, PA 16802

Mailing address

642 Oakwood Ave
D
State College, PA 16803-2650
Phone (412) 225-5276

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
25MT00128500NJMDAthletic Trainer
RT003136PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1285606871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 OAKWOOD AVE",
            "address_2": "D",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032650",
            "telephone_number": "412-225-5276",
            "fax_number": "814-865-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 J RECREATION BLDG",
            "address_2": "THE PENNSYLVANIA STATE UNIVERSITY",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "16802",
            "telephone_number": "814-865-2725",
            "fax_number": "814-865-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIRO",
        "first_name": "GIAMPIETRO",
        "middle_name": "LUCIANO",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00128500",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.