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DIANDRA GILLIS
NPI 1871017061
Specialist/Technologist - Athletic Trainer in Winthrop, MA

Active since July 28, 2017
53 PARK AVE, WINTHROP, MA 02152(617) 230-2275 Get Directions Write a Review

NPPES record last updated: October 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2021, Oct 29, 2019, Jul 28, 2017 (3 updates tracked since 2017).

About Diandra Gillis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANDRA GILLIS (NPI 1871017061) is an individual athletic trainer provider in Winthrop, Massachusetts, licensed in Massachusetts (3412) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1871017061
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameDIANDRA GILLIS
Location Address53 PARK AVEWinthrop, MA 02152-2559
Mailing Address53 Park AveWinthrop, MA 02152-2559
Phone(617) 230-2275
Sole ProprietorNo
Enumeration DateJuly 28, 2017
Last NPPES UpdateOctober 9, 20213 updates tracked since enumeration
NPPES CertifiedOctober 9, 2021
✔ NPI 1871017061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MA · 3412
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
53 PARK AVE, Winthrop, MA 02152
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diandra Gillis's NPI number?

The NPI number for Diandra Gillis is 1871017061. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Diandra Gillis located?

Diandra Gillis practices at 53 Park Ave, Winthrop, MA 02152. The listed phone number is (617) 230-2275.

What is Diandra Gillis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Diandra Gillis was last updated on October 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.