Active NPIIndividual provider

Jacob R Powell, ATC

Specialist/Technologist, Athletic Trainer in Swampscott, Massachusetts

NPI Number1487107231
Practice location
70 Fuller Ave, Swampscott, MA 01907-2150
Fax
—
Last updated
June 20, 2017

Jacob Robert Powell is a Specialist/Technologist, Athletic Trainer based in Swampscott, MA. Jacob Robert Powell practices in Swampscott, MA and has the professional credentials of ATC. The NPI Number for Jacob Robert Powell is 1487107231. The current practice location address for Jacob Robert Powell is 70 Fuller Ave, Swampscott, MA 01907-2150 and can be reached out via phone at 781-913-6120.

Provider Profile Details

NPI Number
1487107231
Provider Name
Jacob Robert Powell
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
70 Fuller Ave, Swampscott, MA 01907-2150
Phone Number
781-913-6120
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2016
Last Update Date
June 20, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Fuller Ave
Swampscott, MA 01907-2150
Zip
01907-2150
Phone Number
781-913-6120
Swampscott, MA 01907Get directions →

Provider Business Mailing Address Details

Address
70 Fuller Ave
Swampscott, MA 01907-2150
City
Swampscott
State
MA
Zip
01907-2150
Phone Number
781-913-6120

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacob R Powell, ATC?

The NPI number of Jacob R Powell, ATC is 1487107231. It was assigned on July 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Jacob R Powell, ATC?

Jacob R Powell, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Jacob R Powell, ATC practice?

The practice location is 70 Fuller Ave, Swampscott, MA 01907-2150. The office can be reached at 781-913-6120 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487107231 directly on the NPPES registry website.

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