William R Closs III, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0396 Issued in NH

Practice address

436 Amherst St Ste 102
Nashua, NH 03063-1276

Phone

(603) 417-5087

Fax

(603) 417-5089

NPI assigned

May 28, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gate City Sports Medicine

  • Physical Therapy Clinic/Center
  • Nashua, NH
  • NPI 1801665724
  NPD

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1386484582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 AMHERST ST STE 102",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631276",
            "telephone_number": "603-417-5087",
            "fax_number": "603-417-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 AMHERST ST STE 102",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631276",
            "telephone_number": "603-417-5087",
            "fax_number": "603-417-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSS",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "LAT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "ATL3290",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "0396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Clark, SLP
• Natalie Clark, MS
• Sarah Clement
• Shawna Diane Clifton, RN
• James Gorden Cline Sr., LCSW
• Joyce Carol Clouser, RDN
• Amanda Cloutier, BA
• Dagan M Cloutier, PA-C
• Jason Cloutier, BA
• Deborah Clymer, OTR/L

• Athletic Trainer in Nashua, NH
• Providers in Nashua, NH by specialty
• Athletic Trainer in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.