Active NPI
Gage Robison, ATC
- Athletic Trainer
- Lakeway, TX
National Provider Identifier
1982378402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2000 Medical Dr
Lakeway, TX 78734-4200 - Phone
- (505) 401-2383
- NPI assigned
- Aug 7, 2021
- Last updated
- Aug 7, 2021
- 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 | TX | Primary |
Addresses
Primary practice location
2000 Medical Dr
Lakeway, TX 78734-4200
Mailing address
11208 Country CLB NE
Albuquerque, NM 87111-6597
Phone (505) 401-2383
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": "1628294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628294400000",
"number": "1982378402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11208 COUNTRY CLB NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871116597",
"telephone_number": "505-401-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL DR",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787344200",
"telephone_number": "505-401-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "GAGE",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-07",
"last_updated": "2021-08-07",
"certification_date": "2021-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.