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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: August 09, 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
Phone(215) 951-1519
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
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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.

AMANDA KATE JOHNSON APRN
Nurse Practitioner
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (251) 951-1000
DR. ABIGAIL S HAMILTON PSY.D
Psychologist (Clinical)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (609) 218-9499
MR. JASPER AYENI ATC/L
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 951-1519
CHRISTOPHER RYAN ANDERSON DAT, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (910) 303-5124
CHRISTINE GINDHART ATC
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 951-1519
LITIA GANS CRNP
Family Medicine
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (267) 307-2765
MR. WILLIAM GERZABEK
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 951-1506
MEDINA KASEMI CRNP
Nurse Practitioner (Family)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Philadelphia County (215) 951-1000

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 Shannon Clegg's NPI number?

The NPI number for Shannon Clegg is 1689050874. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Shannon Clegg located?

Shannon Clegg practices at 1900 W Olney Ave, Philadelphia, PA 19141. The listed phone number is (215) 951-1519.

What is Shannon Clegg'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 Shannon Clegg was last updated on August 11, 2015. 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.