Active NPI
Wendell Powell, MASTER CPT, NFPT
- Athletic Trainer
- Wilmington, DE
National Provider Identifier
1164090221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 38238
- Practice address
- 213 Smyrna Ave
Wilmington, DE 19809-1236 - Phone
- (856) 361-4989
- NPI assigned
- Jun 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 38238 | PA | Primary |
Addresses
Primary practice location
213 Smyrna Ave
Wilmington, DE 19809-1236
Mailing address
213 Smyrna Ave
Wilmington, DE 19809-1236
Phone (856) 361-4989
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 |
|---|---|---|---|
| 38238 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1164090221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 SMYRNA AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198091236",
"telephone_number": "856-361-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 SMYRNA AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198091236",
"telephone_number": "856-361-4989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "WENDELL",
"credential": "MASTER CPT, NFPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "38238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.