Individual provider Active NPI

Corey J Littel

  • Athletic Trainer
  • Patuxent River, MD
National Provider Identifier
1467446104
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
48110 Shaw Rd
BLDG 2187 Suite 1240-G3
Patuxent River, MD 20670-1906
Phone
(301) 342-9226
Fax
(301) 342-8491
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 Primary

Addresses

Primary practice location

48110 Shaw Rd
BLDG 2187 Suite 1240-G3
Patuxent River, MD 20670-1906

Mailing address

43800 Sassafras Dr
California, MD 20619-4113
Phone (301) 342-9226

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467446104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43800 SASSAFRAS DR",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206194113",
            "telephone_number": "301-342-9226",
            "fax_number": "301-342-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48110 SHAW RD",
            "address_2": "BLDG 2187 SUITE 1240-G3",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "206701906",
            "telephone_number": "301-342-9226",
            "fax_number": "301-342-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTEL",
        "first_name": "COREY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "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": []
}

Other providers in Patuxent River, MD

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.

Verify at the official NPI Registry.