Active NPI
Maria Jean Gotta, ATC
- Athletic Trainer
- Madison, WI
National Provider Identifier
1518927623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 771 - 39
- Practice address
- 621 Science Dr
Madison, WI 53711-1074 - Phone
- (608) 437-2400
- NPI assigned
- Mar 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 771 - 39 | WI | Primary |
Addresses
Primary practice location
621 Science Dr
Madison, WI 53711-1074
Mailing address
7329 Timber Lake TRL
#302
Madison, WI 53719-3714
Phone (715) 321-0616
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 |
|---|---|---|---|
| 771 - 39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518927623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7329 TIMBER LAKE TRL",
"address_2": "#302",
"city": "MADISON",
"state": "WI",
"postal_code": "537193714",
"telephone_number": "715-321-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SCIENCE DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537111074",
"telephone_number": "608-437-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTA",
"first_name": "MARIA",
"middle_name": "JEAN",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "771 - 39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.