MICHAEL SHANE TIERNEY
NPI 1073197679
Specialist/Technologist - Athletic Trainer in Mc Lean, VA

Active since May 10, 2021
1633 DAVIDSON RD, MC LEAN, VA 22101(703) 714-5771 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About MICHAEL TIERNEY

This page provides the complete NPI Profile along with additional information for Michael Tierney, a provider established in Mc Lean, Virginia with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1073197679 assigned on May 2021. The practitioner's primary taxonomy code is 2255A2300X with license number 0126001718 (VA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1073197679 Verify this NPI
Provider Name
MICHAEL SHANE TIERNEY
Gender
Male
Entity Type
Individual
Location Address
1633 DAVIDSON RD MC LEAN, VA 22101
Location Phone
(703) 714-5771
Mailing Address
1633 DAVIDSON RD MC LEAN, VA 22101
Mailing Phone
(703) 714-5771
Is Sole Proprietor?
No
Enumeration Date
05-10-2021
Last Update Date
05-10-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
0126001718
License State
VA
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073197679, enumerated as an "individual" on May 10, 2021.

The provider is located at 1633 DAVIDSON RD MC LEAN, VA 22101 and the phone number is (703) 714-5771.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.