Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Demetrius Jennings, ATC

Individual provider Athletic Trainer · NPI 1114551967

Demetrius Jennings, ATC is an Athletic Trainer in Philadelphia, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1801 N Broad St
Philadelphia, PA 19122-6003
Phone: (215) 204-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1114551967
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMarch 1, 2020
Last updated in NPPESMarch 1, 2020
Certification dateMarch 1, 2020

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