Active NPIIndividual providerSole proprietor

Athena Deangelis, ATC

Specialist/Technologist, Athletic Trainer in Bellmawr, New Jersey

NPI Number1861820227
Practice location
400 4TH Ave, Bellmawr, NJ 08031-1419
Fax
—
Last updated
October 23, 2013

Athena Deangelis is a Specialist/Technologist, Athletic Trainer based in Bellmawr, NJ. Athena Deangelis practices in Bellmawr, NJ and has the professional credentials of ATC. The NPI Number for Athena Deangelis is 1861820227 and holds a License No. J3-0000379 (DE). The current practice location address for Athena Deangelis is 400 4TH Ave, Bellmawr, NJ 08031-1419 and can be reached out via phone at 856-816-7286.

Provider Profile Details

NPI Number
1861820227
Provider Name
Athena Deangelis
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
400 4TH Ave, Bellmawr, NJ 08031-1419
Phone Number
856-816-7286
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2013
Last Update Date
October 23, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 4TH Ave
Bellmawr, NJ 08031-1419
Zip
08031-1419
Phone Number
856-816-7286
Bellmawr, NJ 08031Get directions →

Provider Business Mailing Address Details

Address
400 4TH Avenue
Bellmawr, NJ 08031
City
Bellmawr
State
NJ
Zip
08031
Phone Number
856-931-3358

License Information

License Number (1)
J3-0000379
License State (1)
DE
Taxonomy (1)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
License Number (2)
25MT00185900
License State (2)
NJ

Legacy Identifiers

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

Other Specialist/Technologist, Athletic Trainers near Bellmawr, NJ

View all Specialist/Technologist, Athletic Trainers in Bellmawr →

Frequently Asked Questions

What is the NPI number of Athena Deangelis, ATC?

The NPI number of Athena Deangelis, ATC is 1861820227. It was assigned on October 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Athena Deangelis, ATC?

Athena Deangelis, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in DE under license number J3-0000379.

Where does Athena Deangelis, ATC practice?

The practice location is 400 4TH Ave, Bellmawr, NJ 08031-1419. The office can be reached at 856-816-7286 (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 1861820227 directly on the NPPES registry website.

Browse related providers