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DEMETRIUS JENNINGS ATC
NPI 1114551967
Specialist/Technologist - Athletic Trainer in Philadelphia, PA

Active since March 01, 2020
1801 N BROAD ST, PHILADELPHIA, PA 19122(215) 204-7000 Get Directions Write a Review

NPPES record last updated: March 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Demetrius Jennings Atc NPPES

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

DEMETRIUS JENNINGS ATC (NPI 1114551967) is an individual athletic trainer provider in Philadelphia, Pennsylvania and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1114551967
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameDEMETRIUS JENNINGSCredential: ATC
Location Address1801 N BROAD STPhiladelphia, PA 19122-6003
Mailing Address12 Honeysuckle DrSewell, NJ 08080-2588 · (215) 667-0572
Phone(215) 204-7000
Sole ProprietorNo
Enumeration DateMarch 1, 2020
NPPES CertifiedMarch 1, 2020
✔ NPI 1114551967 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.
1801 N BROAD ST, Philadelphia, PA 19122
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Other Providers at the Same Location NPPES 18

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

MCKAYLA FRANCES KELLY ATS
Specialist/Technologist (Athletic Trainer)
1801 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 204-7000
MS. VANESSA GOMEZ ATC, LAT
Emergency Medicine (Sports Medicine)
1801 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (954) 980-5257
PAMELA GRONDSKI ATC
Specialist/Technologist (Athletic Trainer)
1801 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 204-2441
MOHAMMED ABDULQAWI SIDDIQUI
General Practice
1801 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (847) 845-7356
ALYSON HANSBARGER LAT, ATC
Specialist/Technologist (Athletic Trainer)
1801 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 622-1213
GARY ROBINSON
Student in an Organized Health Care Education/Training Program
1801 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 356-2817
JORDAN RAGSDALE
Specialist/Technologist (Athletic Trainer)
1801 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (667) 214-8800
DAPHNE GHIRARDI
Student in an Organized Health Care Education/Training Program
1801 N BROAD ST
PHILADELPHIA, PA 19122
Philadelphia County (412) 551-8722

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 Demetrius Jennings's NPI number?

The NPI number for Demetrius Jennings is 1114551967. It was assigned to this individual provider in the NPPES registry on March 1, 2020.

Where is Demetrius Jennings located?

Demetrius Jennings practices at 1801 N Broad St, Philadelphia, PA 19122. The listed phone number is (215) 204-7000.

What is Demetrius Jennings'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 Demetrius Jennings was last updated on March 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.