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LILLY MARIE SHUPE ATC, LAT, OTC, OT-SC
NPI 1134006182
Specialist/Technologist - Athletic Trainer in Decatur, GA

Active since August 20, 2025
487 WINN WAY STE 100, DECATUR, GA 30030(404) 251-2090(404) 251-4471 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lilly Marie Shupe Atc, Lat, Otc, Ot-sc NPPES

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

LILLY MARIE SHUPE ATC, LAT, OTC, OT-SC (NPI 1134006182) is an individual athletic trainer provider in Decatur, Georgia, licensed in Georgia (AT004124) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1134006182
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameLILLY MARIE SHUPECredential: ATC, LAT, OTC, OT-SC
Location Address487 WINN WAY STE 100Decatur, GA 30030-1700
Mailing Address487 Winn Way Ste 100Decatur, GA 30030-1700 · (404) 251-2090 · Fax (404) 251-4471
Phone(404) 251-2090
Fax(404) 251-4471
Sole ProprietorNo
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1134006182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT004124
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.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 24-0912 (GA)
487 WINN WAY STE 100, Decatur, GA 30030
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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 Lilly Shupe's NPI number?

The NPI number for Lilly Shupe is 1134006182. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Where is Lilly Shupe located?

Lilly Shupe practices at 487 Winn Way Ste 100, Decatur, GA 30030. The listed phone number is (404) 251-2090.

What is Lilly Shupe'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 Lilly Shupe was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.