Active NPI
Gregory Basmajian, MBA,ATC
- Athletic Trainer
- Cambridge, MA
National Provider Identifier
1669925061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2441
- Practice address
- 120 Vassar St
Cambridge, MA 02139-4311 - Phone
- (978) 697-4572
- NPI assigned
- Aug 2, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2441 | MA | Primary |
Addresses
Primary practice location
120 Vassar St
Cambridge, MA 02139-4311
Mailing address
5 Michael LN
Haverhill, MA 01830-2272
Phone (978) 697-4572
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2441 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1669925061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MICHAEL LN",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018302272",
"telephone_number": "978-697-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 VASSAR ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021394311",
"telephone_number": "978-697-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASMAJIAN",
"first_name": "GREGORY",
"credential": "MBA,ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-02",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.