Active NPI
Cole Powell, ATC
- Athletic Trainer
- Leesburg, VA
National Provider Identifier
1003216946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000018604
- Practice address
- 19455 Deerfield Ave Ste 312
Leesburg, VA 20176-8102 - Phone
- (703) 729-5010
- NPI assigned
- Aug 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000018604 | VA | Primary |
Addresses
Primary practice location
19455 Deerfield Ave Ste 312
Leesburg, VA 20176-8102
Mailing address
12901 Lee Jackson Memorial Hwy
Apt. C
Fairfax, VA 22033-2172
Phone (703) 577-8074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000018604 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1003216946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12901 LEE JACKSON MEMORIAL HWY",
"address_2": "APT. C",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332172",
"telephone_number": "703-577-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19455 DEERFIELD AVE STE 312",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201768102",
"telephone_number": "703-729-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "COLE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-28",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "2000018604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.