Christopher Worrell, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002473 Issued in VA

Practice address

6100 Rolling Rd
West Springfield, VA 22152-1515

Phone

(571) 279-7919

NPI assigned

Sep 15, 2015

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1245608769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 ROLLING RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROLLING RD",
            "city": "WEST SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521515",
            "telephone_number": "571-279-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRELL",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-12-07",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NV",
            "license": "0506404",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Amira Smith, OD
• Laura Sullivan, CPNP
• Laura E Thompson, PPD, CLC
• Ifeoma Nnenna Ude, MD
• Sally Valerio

• Athletic Trainer in West Springfield, VA
• Providers in West Springfield, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.