Active NPI
Mark Phillip Escandon, A.T.,C.
- Athletic Trainer
- Seattle, WA
National Provider Identifier
1295789139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 901 12TH Ave
Seattle, WA 98122-4411 - Phone
- (206) 296-5432
- Fax
- (206) 296-2154
- NPI assigned
- May 22, 2006
- 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 | Primary |
Addresses
Primary practice location
901 12TH Ave
Seattle, WA 98122-4411
Mailing address
22339 123Rd PL SE
Kent, WA 98031-9653
Phone (253) 631-8902
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295789139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22339 123RD PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980319653",
"telephone_number": "253-631-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 12TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224411",
"telephone_number": "206-296-5432",
"fax_number": "206-296-2154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCANDON",
"first_name": "MARK",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"credential": "A.T.,C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.