Active NPI
Emmalyn Grace Gibson, ATC
- Athletic Trainer
- Ithaca, NY
National Provider Identifier
1851201578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 005124-01
- Practice address
- 513 N Campus
Ithaca, NY 14853-6007 - Phone
- (607) 255-4237
- NPI assigned
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 005124-01 | NY | Primary |
Addresses
Primary practice location
513 N Campus
Ithaca, NY 14853-6007
Mailing address
7122 Stagecoach Rd
Conesus, NY 14435-9640
Phone (585) 208-9161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1851201578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7122 STAGECOACH RD",
"city": "CONESUS",
"state": "NY",
"postal_code": "144359640",
"telephone_number": "585-208-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 N CAMPUS",
"city": "ITHACA",
"state": "NY",
"postal_code": "148536007",
"telephone_number": "607-255-4237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "EMMALYN",
"middle_name": "GRACE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "005124-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.