Individual provider Active NPI

Quenton Thomas Gellin, LAT, ATC

  • Athletic Trainer
  • Appleton, WI
National Provider Identifier
1396659876
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
328639 Issued in WI
Practice address
2121 E Emmers Dr
Appleton, WI 54915-3802
Phone
(920) 852-5400
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 328639 WI Primary

Addresses

Primary practice location

2121 E Emmers Dr
Appleton, WI 54915-3802

Mailing address

2600 Forest View CT Apt 8
Appleton, WI 54915-6235
Phone (920) 819-0826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1396659876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FOREST VIEW CT APT 8",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549156235",
            "telephone_number": "920-819-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E EMMERS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153802",
            "telephone_number": "920-852-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLIN",
        "first_name": "QUENTON",
        "middle_name": "THOMAS",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "328639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.