Individual provider Active NPI

Jeremy Gallego Aspa, ATC

  • Athletic Trainer
  • Newport News, VA
National Provider Identifier
1306355334
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126002107 Issued in VA
Practice address
4101 Washington Ave # 86
Newport News, VA 23607-2700
Phone
(757) 380-2000
NPI assigned
Sep 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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 0126002107 VA Primary

Addresses

Primary practice location

4101 Washington Ave # 86
Newport News, VA 23607-2700

Mailing address

1636 Mill Oak Dr
Virginia Beach, VA 23464-7920
Phone (757) 374-1837

Other identifiers 1

IdentifierTypeStateIssuer
0000000000OtherVAEMPLOYER INSURANCE

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
0126002107VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1306355334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 MILL OAK DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647920",
            "telephone_number": "757-374-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WASHINGTON AVE # 86",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236072700",
            "telephone_number": "757-380-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASPA",
        "first_name": "JEREMY",
        "middle_name": "GALLEGO",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER INSURANCE",
            "identifier": "0000000000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.