Daniel William Gotthardt, ATC, EMT-B, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126000127 Issued in VA

Practice address

4460 Longhill Rd
Williamsburg, VA 23188-1535

Phone

(757) 565-4281

Fax

(757) 565-4268

NPI assigned

Apr 7, 2006

Sex

Male

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598728057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 ROCKINGHAM DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888118",
            "telephone_number": "757-565-4281",
            "fax_number": "757-565-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 LONGHILL RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881535",
            "telephone_number": "757-565-4281",
            "fax_number": "757-565-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTHARDT",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "credential": "ATC, EMT-B, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Waine Gore, LCSW
• John Howell Gorman, RPH
• Devon Marie Gosnell, CSFA
• Rustico Tolentino Gotico, M.D.
• Linda P Gottfried, M.D.
• Maurice E Graham, M.D.
• Tammy Graham
• Erin Grandaw
• Alison Grant, PA-C
• John E Grasinger, MD

• Athletic Trainer in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Athletic Trainer in Virginia

• 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.

Verify at the official NPI Registry.