SHANNON CLEGG MED, ATC, CES, PES
NPI 1689050874
Specialist/Technologist - Athletic Trainer in Philadelphia, PA

Active since August 11, 2015
1900 W OLNEY AVE, PHILADELPHIA, PA 19141(215) 951-1519 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Clegg Med, Atc, Ces, Pes NPPES

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

SHANNON CLEGG MED, ATC, CES, PES (NPI 1689050874) is an individual athletic trainer provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RT004086) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1689050874
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSHANNON CLEGGCredential: MED, ATC, CES, PES
Location Address1900 W OLNEY AVEPhiladelphia, PA 19141-1108
Mailing Address1900 W Olney AvePhiladelphia, PA 19141-1108
Sole ProprietorYes
Enumeration DateAugust 11, 2015
NPI 1689050874 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 PA · RT004086
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.

1900 W OLNEY AVE, Philadelphia, PA 19141

Other Providers at the Same Location NPPES 16

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

Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Nurse Practitioner (Primary Care)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Nurse Practitioner
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Nurse Practitioner (Family)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Psychologist (Clinical)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689050874, enumerated as an "individual" on August 11, 2015.

The provider is located at 1900 W OLNEY AVE PHILADELPHIA, PA 19141 and the phone number is (215) 951-1519.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.