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SAMANTHA REBEKAH VILLA MS, ATC
NPI 1639402654
Specialist/Technologist - Athletic Trainer in San Diego, CA

Active since September 09, 2009
3117 30TH ST, SAN DIEGO, CA 92104(619) 417-6451(478) 301-2039 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 2, 2021, Jan 22, 2021 (2 updates tracked since 2021).

About Samantha Rebekah Villa Ms, Atc NPPES

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

SAMANTHA REBEKAH VILLA MS, ATC (NPI 1639402654) is an individual athletic trainer provider in San Diego, California, licensed in Georgia (AT001682) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1639402654
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSAMANTHA REBEKAH VILLACredential: MS, ATC
Location Address3117 30TH STSan Diego, CA 92104-4505
Mailing Address3266 Nutmeg Street, Athletic Training FacilitySan Diego, CA 92104 · (619) 282-2184 · Fax (619) 282-1203
Phone(619) 417-6451
Fax(478) 301-2039
Sole ProprietorYes
Enumeration DateSeptember 9, 2009
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1639402654 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 GA · AT001682
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.
3117 30TH ST, San Diego, CA 92104
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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 Samantha Villa's NPI number?

The NPI number for Samantha Villa is 1639402654. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Samantha Villa located?

Samantha Villa practices at 3117 30th St, San Diego, CA 92104. The listed phone number is (619) 417-6451.

What is Samantha Villa'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 Samantha Villa was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.