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

Jason Matthew Maccannon, ATC, LAT

Individual provider Athletic Trainer · NPI 1548863186

Jason Matthew Maccannon, ATC, LAT is an Athletic Trainer in Princess Anne, Maryland. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

College Backbone Rd
Princess Anne, MD 21853
Phone: (410) 651-6510
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Fairmount Ave Ste 3000, Towson, MD 21286-5457 — (410) 324-7409

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence A0001341 (MD)

Record details

NPI number1548863186
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 16, 2020

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