Active NPI
Robert Gaisford, MMEDSC, ATC
- Athletic Trainer
- Colorado Springs, CO
National Provider Identifier
1942604673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1 Olympic Plaza
Sports Medicine/Olympic Training Center
Colorado Springs, CO 80920 - Phone
- (719) 866-4554
- NPI assigned
- Oct 9, 2014
- 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 | Primary |
Addresses
Primary practice location
1 Olympic Plaza
Sports Medicine/Olympic Training Center
Colorado Springs, CO 80920
Mailing address
1 Olympic Plaza
Sports Medicine/Olympic Training Center
Colorado Springs, CO 80920
Phone (719) 866-4554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT.0001221 | Other | CO | COLORADO REGISTRATION |
| 2000006551 | Other | NATABOC |
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": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1942604673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLYMPIC PLAZA",
"address_2": "SPORTS MEDICINE/OLYMPIC TRAINING CENTER",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80920",
"telephone_number": "719-866-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OLYMPIC PLAZA",
"address_2": "SPORTS MEDICINE/OLYMPIC TRAINING CENTER",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80920",
"telephone_number": "719-866-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAISFORD",
"first_name": "ROBERT",
"credential": "MMEDSC, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO REGISTRATION",
"identifier": "AT.0001221",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATABOC",
"identifier": "2000006551",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.