Active NPI
Lucas Garisto
- Athletic Trainer
- Saint Davids, PA
National Provider Identifier
1336915768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT008572
- Practice address
- 1300 Eagle Rd
Saint Davids, PA 19087-3617 - Phone
- (717) 542-4930
- NPI assigned
- Nov 27, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT008572 | PA | Primary |
Addresses
Primary practice location
1300 Eagle Rd
Saint Davids, PA 19087-3617
Mailing address
1300 Eagle Rd
Saint Davids, PA 19087-3617
Phone (717) 542-4930
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT008572 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1336915768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 EAGLE RD",
"city": "SAINT DAVIDS",
"state": "PA",
"postal_code": "190873617",
"telephone_number": "717-542-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 EAGLE RD",
"city": "SAINT DAVIDS",
"state": "PA",
"postal_code": "190873617",
"telephone_number": "717-542-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARISTO",
"first_name": "LUCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT008572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Davids, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.