Active NPI
Gillian Deangelo, ATC, LAT, MS
- Sports Medicine (Family Medicine) Physician
- Kintnersville, PA
National Provider Identifier
1316879661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- RT005648
- Practice address
- 35 Church Hill Rd
Kintnersville, PA 18930-9685 - Phone
- (610) 847-5131
- Fax
- (610) 847-2562
- NPI assigned
- Jun 1, 2026
- Last updated
- Jun 1, 2026
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | RT005648 | PA | Primary |
Addresses
Primary practice location
35 Church Hill Rd
Kintnersville, PA 18930-9685
Mailing address
3880 Cephas Child Rd Unit 3
Doylestown, PA 18902-9031
Phone (610) 633-0338
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005648 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1316879661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 CEPHAS CHILD RD UNIT 3",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189029031",
"telephone_number": "610-633-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CHURCH HILL RD",
"city": "KINTNERSVILLE",
"state": "PA",
"postal_code": "189309685",
"telephone_number": "610-847-5131",
"fax_number": "610-847-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANGELO",
"first_name": "GILLIAN",
"name_prefix": "Mrs.",
"credential": "ATC, LAT, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "RT005648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kintnersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.