Mark David Stephenson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1885 Bob Johnson Dr
Colorado Springs, CO 80906-4000

Phone

(719) 632-6722

Fax

(719) 632-6367

NPI assigned

Oct 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366430951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 ANGELINA DR",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318465",
            "telephone_number": "719-495-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 BOB JOHNSON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064000",
            "telephone_number": "719-632-6722",
            "fax_number": "719-632-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-08",
        "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": []
}

• Michael Stephens
• Molly Stephens
• Phillip Brett Stephens, QBHA
• Carlee Stephenson, M.A. CCC-SLP
• Derek Stephenson, PHARMD
• Rachelle Stephenson, MSW
• Samuel Stephenson
• Danicia Stepisnik-Brown
• Winnie Mae Stepisnik-Brown
• Sheri Lyn Stepp, LMT

• Athletic Trainer in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Athletic Trainer in Colorado

• 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.

Verify at the official NPI Registry.