Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael R Bibbo, MS, LAT, ATC, CES

Individual provider Athletic Trainer · NPI 1225544018

Michael R Bibbo, MS, LAT, ATC, CES is an Athletic Trainer in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2450 N 54th St
Philadelphia, PA 19131-1309
Phone: (610) 517-9043
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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 RTO000092 (PA)

Record details

NPI number1225544018
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC , CES
Sole proprietorNo
NPI enumeratedDecember 16, 2017
Last updated in NPPESDecember 16, 2017

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