SHANNON MARIE BROWN ATC, LAT, MS, CPT
NPI 1043963309
Specialist/Technologist - Athletic Trainer in Fairfax, VA

Active since January 27, 2022
11204 BRADDOCK RD, FAIRFAX, VA 22030(804) 832-0972 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2022, Jan 27, 2022 (2 updates tracked since 2022).

About Shannon Marie Brown Atc, Lat, Ms, Cpt NPPES

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

SHANNON MARIE BROWN ATC, LAT, MS, CPT (NPI 1043963309) is an individual athletic trainer provider in Fairfax, Virginia and active in the NPI registry since January 2022. She maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1043963309
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSHANNON MARIE BROWNCredential: ATC, LAT, MS, CPT
Location Address11204 BRADDOCK RDFairfax, VA 22030-5405
Mailing Address11710 Fairfax Woods Way Apt 21305Fairfax, VA 22030-8334 · (804) 832-0972
Sole ProprietorYes
Enumeration DateJanuary 27, 2022
Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
NPI 1043963309 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
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.
11204 BRADDOCK RD, Fairfax, VA 22030

Secondary Practice Location 1

Location 110260 Main StFairfax, VA 22030-2404 · Phone (571) 279-6844

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
11204 BRADDOCK RD
FAIRFAX, VA 22030

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 Shannon Brown's NPI number?

The NPI number for Shannon Brown is 1043963309. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Shannon Brown located?

Shannon Brown practices at 11204 Braddock Rd, Fairfax, VA 22030. The listed phone number is (804) 832-0972.

What is Shannon Brown'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 Shannon Brown was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.