Active NPI
Michael Galezio
- Athletic Trainer
- Bloomington, IN
National Provider Identifier
1790163616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1025 E 7TH St
Bloomington, IN 47405-7109 - Phone
- (262) 224-3179
- NPI assigned
- May 12, 2015
- 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 | Primary |
Addresses
Primary practice location
1025 E 7TH St
Bloomington, IN 47405-7109
Mailing address
2200 W. Sudbury Drive, Apt. G-14
Bloomington, IN 47430
Other practice location 1
1053 Fieldstone Dr
Hartford, WI 53027-2907
Phone (262) 224-3179
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790163616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W. SUDBURY DRIVE, APT. G-14",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 E 7TH ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474057109",
"telephone_number": "262-224-3179"
}
],
"practiceLocations": [
{
"address_1": "1053 Fieldstone Dr",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "WI",
"postal_code": "530272907",
"country_code": "US",
"telephone_number": "262-224-3179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALEZIO",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.