1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Specialist Technologist
  6. NPI Profile

MS. BROOKE HAVENS ATC, OTC
NPI 1780065847
Specialist/Technologist - Athletic Trainer in Philadelphia, PA

Active since June 15, 2015
1200 CONSTITUTION AVE, SUITE 110, PHILADELPHIA, PA 19112(609) 204-0627 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Brooke Havens Atc, Otc NPPES

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

MS. BROOKE HAVENS ATC, OTC (NPI 1780065847) is an individual athletic trainer provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RT005550) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1780065847
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. BROOKE HAVENSCredential: ATC, OTC
Location Address1200 CONSTITUTION AVE, SUITE 110Philadelphia, PA 19112-1329
Mailing Address1200 Constitution Ave, Suite 110Philadelphia, PA 19112-1329 · (609) 204-0627
Phone(609) 204-0627
Sole ProprietorNo
Enumeration DateJune 15, 2015
✔ NPI 1780065847 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 · RT005550
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.
1200 CONSTITUTION AVE, Philadelphia, PA 19112
Open in Google Maps ↗

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.

MRS. MARIA LYNN GAMBONE DPT
Physical Therapist
1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
Philadelphia County (267) 592-3190
CARA MARZANO
Physical Therapist
1200 CONSTITUTION AVE, SUITE 210
PHILADELPHIA, PA 19112
Philadelphia County (267) 592-3190
VINCERA REHAB, LLC
Clinic/Center (Physical Therapy)
1200 CONSTITUTION AVE, SUITE 210
PHILADELPHIA, PA 19112
Philadelphia County (267) 592-3200
VINCERA SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1200 CONSTITUTION AVE, SUITE 100
PHILADELPHIA, PA 19112
Philadelphia County (215) 755-2340
INDEPENDENCE IMAGING, LLC
Clinic/Center (Radiology)
1200 CONSTITUTION AVE, SUITE 120
PHILADELPHIA, PA 19112
Philadelphia County (215) 755-1076
WILLIAM CLARK MEYERS MD
Surgery
1200 CONSTITUTION AVE, SUITE 110
PHILADELPHIA, PA 19112
Philadelphia County (267) 592-3200
EMILY ASHER PT, DPT
Physical Therapist
1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
Philadelphia County (267) 592-3190
GREGORY CHARLES MASTURZO
Physical Therapist
1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
Philadelphia County (267) 592-3200

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 Brooke Havens's NPI number?

The NPI number for Brooke Havens is 1780065847. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Brooke Havens located?

Brooke Havens practices at 1200 Constitution Ave Suite 110, Philadelphia, PA 19112. The listed phone number is (609) 204-0627.

What is Brooke Havens'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 Brooke Havens was last updated on June 15, 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.