THADDEUS O'BRIEN AVERY II MS, ATC, LAT
NPI 1790495679
Specialist/Technologist - Athletic Trainer in Germantown, TN

Q: What is Thaddeus Avery's NPI number?

The NPI number for Thaddeus Avery is 1790495679. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Q: What is Thaddeus Avery'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 Thaddeus Avery was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 01, 2022

1400 S GERMANTOWN RD, GERMANTOWN, TN 38138(901) 759-3100(901) 759-3189 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Thaddeus O'brien Avery Ii Ms, Atc, Lat NPPES

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

THADDEUS O'BRIEN AVERY II MS, ATC, LAT (NPI 1790495679) is an individual athletic trainer provider in Germantown, Tennessee, licensed in Tennessee (1171) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1790495679

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameTHADDEUS O'BRIEN AVERY IICredential: MS, ATC, LAT

Location Address1400 S GERMANTOWN RDGermantown, TN 38138-2205

Mailing Address1400 S Germantown RdGermantown, TN 38138-2205 · (901) 759-3100 · Fax (901) 759-3189

Phone(901) 759-3100

Fax(901) 759-3189

Sole ProprietorNo

Enumeration DateDecember 1, 2022

NPPES CertifiedDecember 1, 2022

✔ NPI 1790495679 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 TN · 1171

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.

1400 S GERMANTOWN RD, Germantown, TN 38138

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

ANDREW H CRENSHAW M.D.

Orthopaedic Surgery