Brooke Giltner, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2133-39 Issued in WI

Practice address

24590 W Hilltop Rd
Brillion, WI 54110-9352

Phone

(920) 875-0103

NPI assigned

Sep 9, 2015

Last updated

Jan 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1558739334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24590 W HILLTOP RD",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "541109352",
            "telephone_number": "920-875-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24590 W HILLTOP RD",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "541109352",
            "telephone_number": "920-875-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILTNER",
        "first_name": "BROOKE",
        "name_prefix": "Miss",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "2133-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Groskopp Chiropractic, SC
• William Charles Groskopp, D.C.
• David R Johnson, D.D.S.,S.C.
• Joint School District No 2 Co City & Town of Brillion

• Athletic Trainer in Brillion, WI
• Providers in Brillion, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.