Cecelia Fedele
Individual provider Active NPI Athletic Trainer · Philadelphia, PA
NPI 1639610975 · NPPES record last updated Mar 20, 2017
Key facts
- NPI
- 1639610975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT005591 (PA)
- Practice address
- 4201 Henry Ave
Philadelphia, PA 19144-5409 - Phone
- (215) 951-2726
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005591 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005591 | PA | Yes |
Addresses
Primary practice location
4201 Henry Ave
Philadelphia, PA 19144-5409
Mailing address
4201 Henry Ave
Philadelphia, PA 19144-5409
Phone (215) 951-2726
Other providers in Philadelphia, PA
- Carmen Febo-San Miguel
- Alexandra Marie Febus Martinez
- Charles Fecca
- Brianna Fecondo
- Jean M Fede
- Joel Feder
- Linda R. Feder
- Federal Bureau of Prisons
- Lydia Elizabeth Blais Federico
- Sarah Fedkenheuer
All providers in Philadelphia, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.