Patrick Peach, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2884 Maidens Rd
Powhatan, VA 23139-4819

Phone

(804) 584-9339

NPI assigned

May 29, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1982597035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 MAIDENS RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231394819",
            "telephone_number": "804-584-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 MAIDENS RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231394819",
            "telephone_number": "804-584-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACH",
        "first_name": "PATRICK",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Nickerson, M.D.
• Jennifer O'Neill, NBCHWC
• Sigitas Pachanavicius
• Patriot Medical Care PLLC
• Michelle Pauciullo, PA-C
• Pediatric Partners of Virginia
• Richard Pelletier, RPH
• Peter Matkowsky DDS Inc.
• Simon Gerard Petrizzi, DDS
• Charles Pfeiffer, N. P.

• Athletic Trainer in Powhatan, VA
• Providers in Powhatan, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.