Active NPI
Lori S Gill, MS, ATC
- Athletic Trainer
- Bronx, NY
National Provider Identifier
1902203086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001783
- Practice address
- 5250 Fieldston Rd
Bronx, NY 10471-2935 - Phone
- (718) 519-2799
- Fax
- (718) 519-2735
- NPI assigned
- Dec 4, 2014
- Sex
- Female
- 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 | 001783 | NY | Primary |
Addresses
Primary practice location
5250 Fieldston Rd
Bronx, NY 10471-2935
Mailing address
6 Birchwood CT
Apt 4K
Mineola, NY 11501-4529
Phone (631) 338-3306
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001783 | NY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1902203086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BIRCHWOOD CT",
"address_2": "APT 4K",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014529",
"telephone_number": "631-338-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 FIELDSTON RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104712935",
"telephone_number": "718-519-2799",
"fax_number": "718-519-2735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "LORI",
"middle_name": "S",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-04",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.