Active NPI
William Gerzabek
- Athletic Trainer
- Philadelphia, PA
National Provider Identifier
1376908038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT 000949 A
- Practice address
- 1900 W Olney Ave
Philadelphia, PA 19141-1108 - Phone
- (215) 951-1506
- Fax
- (215) 991-2994
- NPI assigned
- Dec 23, 2015
- 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 | RT 000949 A | PA | Primary |
Addresses
Primary practice location
1900 W Olney Ave
Philadelphia, PA 19141-1108
Mailing address
1900 W Olney Ave
Philadelphia, PA 19141-1108
Phone (215) 951-1506
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 |
|---|---|---|---|
| RT 000949 A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1376908038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 W OLNEY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191411108",
"telephone_number": "215-951-1506",
"fax_number": "215-991-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W OLNEY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191411108",
"telephone_number": "215-951-1506",
"fax_number": "215-991-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERZABEK",
"first_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-23",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT 000949 A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.