Paul Gerhardt, ATC
Individual provider Active NPI Athletic Trainer · Cary, IL
NPI 1669522124 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669522124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 2208 3 Oaks Rd
Cary-Grove High School
Cary, IL 60013-1627 - Phone
- (847) 639-3825
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
2208 3 Oaks Rd
Cary-Grove High School
Cary, IL 60013-1627
Mailing address
2208 3 Oaks Rd
Cary-Grove High School
Cary, IL 60013-1627
Phone (847) 639-3825
Other providers in Cary, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.