MEDICARE: SADIE SMITH ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	0126002806	VA

General Provider Information

NPI Number	:	1295419737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADIE SMITH ATC

Provider Business Mailing Address
First Line	:	2332 PINEWAY DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-2532
Country	:	US
Telephone Number	:	804-306-8234
Fax Number	:

Provider Business Practice Location Address
First Line	:	2332 PINEWAY DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-2532
Country	:	US
Telephone Number	:	804-306-8234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

Similar Medicare Providers

1225801624 — JULIE LONG LMTP, BCMT
Practice Location Address:

2707 DELMONICO DR
RICHMOND, VA
23223-2532

Practice Phone: 804-212-2698
Practice Fax:

1629929484 — MS. CHRISTINE THOMPSON
Practice Location Address:

506 CATLIN DR
RICHMOND HTS, OH
44143-2532

Practice Phone: 216-233-8394
Practice Fax:

1124966130 — NEW LIFE HARVEST CHURCH INC
Practice Location Address:

5717 MIDLOTHIAN TPKE
RICHMOND, VA
23225-6115

Practice Phone: 804-230-5950
Practice Fax: 888-239-4959

1285773101 — DR. ABRAHAM TEKLU M.D.
Practice Location Address:

6900 MIDLOTHIAN TPKE
RICHMOND, VA
23225-5635

Practice Phone: 804-635-0590
Practice Fax: 877-471-2998

1104764778 — SANDPIPER THERAPEUTIC SERVICES
Practice Location Address:

6954 FOREST HILL AVE
RICHMOND, VA
23225-1656

Practice Phone: 757-751-0570
Practice Fax:

1659506954 — MRS. DARLENE FRANCES PROCTOR RN
Practice Location Address:

6900 MIDLOTHIAN TPKE
RICHMOND, VA
23225-5635

Practice Phone: 804-635-0590
Practice Fax: 877-471-2998

Directions to “ SADIE SMITH ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.