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ETHAN SKINNER ATC
NPI 1104271949
Specialist/Technologist - Athletic Trainer in Philadelphia, PA

Active since April 29, 2016
4110 SPRUCE ST, APT. 2, PHILADELPHIA, PA 19104(703) 798-5687 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Skinner Atc NPPES

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

ETHAN SKINNER ATC (NPI 1104271949) is an individual athletic trainer provider in Philadelphia, Pennsylvania and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1104271949
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameETHAN SKINNERCredential: ATC
Location Address4110 SPRUCE ST, APT. 2Philadelphia, PA 19104-4077
Mailing Address779 W Sproul RdSpringfield, PA 19064-1215 · (703) 798-5687
Phone(703) 798-5687
Sole ProprietorNo
Enumeration DateApril 29, 2016
Last NPPES UpdateMay 10, 2018
✔ NPI 1104271949 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.
4110 SPRUCE ST, Philadelphia, PA 19104
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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 Ethan Skinner's NPI number?

The NPI number for Ethan Skinner is 1104271949. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Ethan Skinner located?

Ethan Skinner practices at 4110 Spruce St Apt. 2, Philadelphia, PA 19104. The listed phone number is (703) 798-5687.

What is Ethan Skinner'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 Ethan Skinner was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.