Active NPI
Erin E Gillooly, ATC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- East Falmouth, MA
National Provider Identifier
1578091765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 2298
- Practice address
- 721 E Falmouth Hwy
East Falmouth, MA 02536-6191 - Phone
- (508) 540-7609
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 2298 | MA | Primary |
Addresses
Primary practice location
721 E Falmouth Hwy
East Falmouth, MA 02536-6191
Mailing address
721 E Falmouth Hwy
East Falmouth, MA 02536-6191
Other practice location 1
220 Sandwich Rd
Bourne, MA 02532-3310
Phone (508) 759-7711
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 |
|---|---|---|---|
| 2298 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Cape Cod RVT School | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Bourne, MA
- NPI 1295865673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1578091765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 E FALMOUTH HWY",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025366191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E FALMOUTH HWY",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025366191",
"telephone_number": "508-540-7609"
}
],
"practiceLocations": [
{
"address_1": "220 Sandwich Rd",
"address_purpose": "LOCATION",
"city": "Bourne",
"state": "MA",
"postal_code": "025323310",
"country_code": "US",
"telephone_number": "508-759-7711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLOOLY",
"first_name": "ERIN",
"middle_name": "E",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "MA",
"license": "2298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.