Active NPI
Gary Hutto II, LAT
- Specialist
- McKinney, TX
National Provider Identifier
1689021388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AT1991
- Practice address
- 5104 Bald Cypress LN
McKinney, TX 75071-6288 - Phone
- (903) 241-8696
- Fax
- (469) 302-3479
- NPI assigned
- May 23, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | AT1991 | TX | Primary |
Addresses
Primary practice location
5104 Bald Cypress LN
McKinney, TX 75071-6288
Mailing address
5104 Bald Cypress LN
McKinney, TX 75071-6288
Phone (903) 241-8696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT1991 | Other | TX | ATHLETIC TRAINER |
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 |
|---|---|---|---|
| AT1991 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1689021388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 BALD CYPRESS LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716288",
"telephone_number": "903-241-8696",
"fax_number": "469-302-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 BALD CYPRESS LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716288",
"telephone_number": "903-241-8696",
"fax_number": "469-302-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTO",
"first_name": "GARY",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-23",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "AT1991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINER",
"identifier": "AT1991",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.