Individual provider Active NPI

Keira Wittle, MS, LAT, ATC

  • Athletic Trainer
  • Media, PA
National Provider Identifier
1437779865
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
RT007973 Issued in PA
Practice address
1118 W Baltimore Pike FL 3
Media, PA 19063-6104
Phone
(800) 321-9999
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT007973 PA Primary

Addresses

Primary practice location

1118 W Baltimore Pike FL 3
Media, PA 19063-6104

Mailing address

5542 Ridge Ave Apt 317
Philadelphia, PA 19128-2268
Phone (717) 991-9396

Other practice location 1

400 Enterprise Dr Fl 2
Limerick, PA 19468-1218
Phone (800) 321-9999

Other practice location 2

234 Mall Blvd Ste G30
King Of Prussia, PA 19406-2921
Phone (800) 321-9999

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RT007973PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1437779865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 RIDGE AVE APT 317",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282268",
            "telephone_number": "717-991-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W BALTIMORE PIKE FL 3",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190636104",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Enterprise Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Limerick",
            "state": "PA",
            "postal_code": "194681218",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Mall Blvd Ste G30",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194062921",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTLE",
        "first_name": "KEIRA",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.