Individual provider Active NPI

Tory Elizabeth Engel, LAT, ATC

  • Athletic Trainer
  • Flowery Branch, GA
National Provider Identifier
1689249989
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT003924 Issued in GA
Practice address
4450 Falcon Pkwy
Flowery Branch, GA 30542-3176
Phone
(404) 778-3350
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X AT003924 GA
Athletic Trainer 2255A2300X AT003924 GA Primary

Addresses

Primary practice location

4450 Falcon Pkwy
Flowery Branch, GA 30542-3176

Mailing address

6015 State Bridge Rd Apt 4307
Duluth, GA 30097-6488
Phone (908) 442-3358

Other practice location 1

12 Executive Park Dr NE
Atlanta, GA 30329-2206
Phone (404) 778-7777

Other identifiers 1

IdentifierTypeStateIssuer
AT003924OtherGAATHLETIC TRAINER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tory.engel@emoryhealthcare.org Direct

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

State licenses

LicenseStateTypeSpecialty
AT003924GAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1689249989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 STATE BRIDGE RD APT 4307",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976488",
            "telephone_number": "908-442-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 FALCON PKWY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423176",
            "telephone_number": "404-778-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Executive Park Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292206",
            "country_code": "US",
            "telephone_number": "404-778-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "TORY",
        "middle_name": "ELIZABETH",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "AT003924",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "AT003924",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tory.engel@emoryhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "Secure Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4450 Falcon Pkwy",
            "city": "Flowery Branch",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305423176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.