Active NPI
Joshua Thomas Geruso, M.S., LAT, ATC, CSCS
- Athletic Trainer
- High Point, NC
National Provider Identifier
1457531220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0882
- Practice address
- 833 Montlieu Ave
High Point, NC 27268-0001 - Phone
- (919) 841-9275
- NPI assigned
- Nov 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0882 | NC | Primary |
Addresses
Primary practice location
833 Montlieu Ave
High Point, NC 27268-0001
Mailing address
6057 Willomere Cir
Winston Salem, NC 27107-3731
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 |
|---|---|---|---|
| 0882 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1457531220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6057 WILLOMERE CIR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271073731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 MONTLIEU AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272680001",
"telephone_number": "919-841-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERUSO",
"first_name": "JOSHUA",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "M.S., LAT, ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-09",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "0882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.