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

Ifedima Nwankwo, LAT, ATC, PTA

Individual provider Athletic Trainer · NPI 1073062287

Ifedima Nwankwo, LAT, ATC, PTA is an Athletic Trainer in Harrisburg, Pennsylvania. Licensed in Maryland and Pennsylvania. Registered with an NPI since 2016.

Licensed in
MD, PA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

660 Boas St Apt 1209
Harrisburg, PA 17102-1313
Phone: (202) 802-2552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE013262 (PA)
Athletic Trainer Taxonomy 2255A2300X · Licence A0000891 (MD)

Record details

NPI number1073062287
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC , PTA
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

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