CORNELL SMITH
NPI 1306243563
Specialist/Technologist - Athletic Trainer in Waukesha, WI

Q: What is Cornell Smith's NPI number?

The NPI number for Cornell Smith is 1306243563. It was assigned to this individual provider in the NPPES registry on December 3, 2014.

Q: What is Cornell Smith's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Cornell Smith was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 03, 2014

2103 SUMMIT AVE, WAUKESHA, WI 53188(414) 828-0470 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cornell Smith NPPES

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

CORNELL SMITH (NPI 1306243563) is an individual athletic trainer provider in Waukesha, Wisconsin, licensed in Wisconsin (567-39) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1306243563

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameCORNELL SMITH

Location Address2103 SUMMIT AVEWaukesha, WI 53188-3106

Mailing Address2103 Summit AveWaukesha, WI 53188-3106

Phone(414) 828-0470

Sole ProprietorYes

Enumeration DateDecember 3, 2014

✔ NPI 1306243563 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

License✔ Licensed in WI · 567-39

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.

2103 SUMMIT AVE, Waukesha, WI 53188

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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 Cornell Smith's NPI number?

The NPI number for Cornell Smith is 1306243563. It was assigned to this individual provider in the NPPES registry on December 3, 2014.

Where is Cornell Smith located?

Cornell Smith practices at 2103 Summit Ave, Waukesha, WI 53188. The listed phone number is (414) 828-0470.

What is Cornell Smith'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 Cornell Smith was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.