Active NPI
Gregory Jancaitis, MED, ATC, CSCS
- Athletic Trainer
- Standish, ME
National Provider Identifier
1861671273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT300
- Practice address
- 700 Saco Rd
Standish, ME 04084-6240 - Phone
- (207) 642-5325
- Fax
- (207) 929-9147
- NPI assigned
- Nov 1, 2007
- Sex
- Male
- 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 | AT300 | ME | Primary |
Addresses
Primary practice location
700 Saco Rd
Standish, ME 04084-6240
Mailing address
700 Saco Rd
Standish, ME 04084-6240
Phone (207) 642-9080
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT300 | ME | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1861671273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SACO RD",
"city": "STANDISH",
"state": "ME",
"postal_code": "040846240",
"telephone_number": "207-642-9080",
"fax_number": "207-929-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SACO RD",
"city": "STANDISH",
"state": "ME",
"postal_code": "040846240",
"telephone_number": "207-642-5325",
"fax_number": "207-929-9147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANCAITIS",
"first_name": "GREGORY",
"credential": "MED, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ME",
"license": "AT300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Standish, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.