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

Masahiro Takahagi, ATC

Individual provider Athletic Trainer · NPI 1215284716

Masahiro Takahagi, ATC is an Athletic Trainer in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.

Licensed in
PA
In the registry since
2012
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

1001 Diamond St
Philadelphia, PA 19122-1204
Phone: (215) 204-0873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT005374 (PA)

Record details

NPI number1215284716
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 14, 2012
Last updated in NPPESOctober 19, 2012

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