Individual provider Active NPI

Gregory Allan Taylor, M.ED., LAT, ATC

  • Athletic Trainer
  • Carmel, IN
National Provider Identifier
1730651381
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36002522A Issued in IN
Practice address
14455 Clay Terrace Blvd
Carmel, IN 46032-3605
Phone
(317) 415-5795
NPI assigned
Dec 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 36002522A IN Primary

Addresses

Primary practice location

14455 Clay Terrace Blvd
Carmel, IN 46032-3605

Mailing address

14455 Clay Terrace Blvd
Carmel, IN 46032-3605
Phone (317) 415-5795

Other practice location 1

4600 Sunset Ave
Indianapolis, IN 46208-3443
Phone (317) 809-8687

Other practice location 2

201 S Delaware St Ste 500
Indianapolis, IN 46204-3746
Phone (317) 415-5747

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 Education

State licenses

LicenseStateTypeSpecialty
36002522AINMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1730651381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14455 CLAY TERRACE BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323605",
            "telephone_number": "317-415-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 CLAY TERRACE BLVD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323605",
            "telephone_number": "317-415-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462083443",
            "country_code": "US",
            "telephone_number": "317-809-8687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Delaware St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462043746",
            "country_code": "US",
            "telephone_number": "317-415-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GREGORY",
        "middle_name": "ALLAN",
        "credential": "M.ED., LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002522A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.