Organization · Type 2 NPI

Physically Empowered Therapy & Wellness

Athletic Trainer · Hampton, GA

NPI number 1114215233 Active

Practice location

2300 Sugarleaf Trail
Hampton, GA 30228

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer Primary	2255A2300X	AT001665 (GA)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

NPI record

NPI: 1114215233
Entity type: Organization (Type 2)
Issued: Jul 11, 2011
Last updated: Aug 1, 2018
Status: Active

Other names

<unavail>
Tri-Cities Sports Medicine and Rehab · doing business as
Tri-Cities Sports Medicine and Rehab · doing business as

Authorized official

Mr. Jeancarlo Alencastro, ATC/L
Clinic Owner
(770) 203-5144

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114215233

Physically Empowered Therapy & Wellness's National Provider Identifier is 1114215233, issued on Jul 11, 2011. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Hampton, GA. The record was last updated on Aug 1, 2018.