Active NPI
Nicholas Geller, ATC
- Athletic Trainer
- Groton, MA
National Provider Identifier
1992115992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2291
- Practice address
- 282 Farmers Row
Groton, MA 01450-1848 - Phone
- (978) 448-7532
- NPI assigned
- Apr 30, 2014
- 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 | 2291 | MA | Primary |
Addresses
Primary practice location
282 Farmers Row
Groton, MA 01450-1848
Mailing address
1 Daybrook Dr Apt 314
Ayer, MA 01432-1730
Phone (802) 299-7257
Other names 1
- Nicholas Houlne-Geller
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2291 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1992115992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DAYBROOK DR APT 314",
"city": "AYER",
"state": "MA",
"postal_code": "014321730",
"telephone_number": "802-299-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 FARMERS ROW",
"city": "GROTON",
"state": "MA",
"postal_code": "014501848",
"telephone_number": "978-448-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "NICHOLAS",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "2291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICHOLAS",
"last_name": "HOULNE-GELLER",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Groton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.