Individual provider Active NPI

Stephan F Mackell, MS, ATC, CSCS, PES

  • Athletic Trainer
  • West Chester, PA
National Provider Identifier
1508859067
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
638 Brandywine Pkwy
West Chester, PA 19380-4278
Phone
(610) 436-3600
Fax
(610) 436-3605
NPI assigned
Aug 30, 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 PA Primary

Addresses

Primary practice location

638 Brandywine Pkwy
West Chester, PA 19380-4278

Mailing address

901 Saratoga Dr
West Chester, PA 19380-5515
Phone (610) 429-3605

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
000021171PAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508859067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SARATOGA DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805515",
            "telephone_number": "610-429-3605",
            "fax_number": "610-429-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 BRANDYWINE PKWY",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804278",
            "telephone_number": "610-436-3600",
            "fax_number": "610-436-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKELL",
        "first_name": "STEPHAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, CSCS, PES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

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.