Cally Marie Mackrell, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0001240 Issued in MD

Practice address

8512 Hill St
Ellicott City, MD 21043-4615

Phone

(443) 878-9279

NPI assigned

Aug 18, 2015

Sex

Female

Sole proprietor

No

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": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1497121057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 HILL ST",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434615",
            "telephone_number": "443-878-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 HILL ST",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434615",
            "telephone_number": "443-878-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKRELL",
        "first_name": "CALLY",
        "middle_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2706",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0001240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynx Maryland LLC
• M Medical Group, Inc.
• Jinfang Ma, MD
• Imani Mack, PT
• Jo Ann Mackinson, PSYCHOLOGIST
• Krisztina Madak, MS CCC SLP
• Joyce H Mady, PT
• Walter Mady, PT
• Catherine Mailander, M.D.
• James Mainhart, PT

• Athletic Trainer in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.