Individual provider Active NPI

Erin E Gillooly, ATC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • East Falmouth, MA
National Provider Identifier
1578091765
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
2298 Issued in MA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2298MAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.