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

Miss. Carissa Erin Wortham, ATC

Individual provider Athletic Trainer · NPI 1699406975

Miss. Carissa Erin Wortham, ATC is an Athletic Trainer in Springfield, Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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

6564 Loisdale Ct Ste 500
Springfield, VA 22150-1823
Phone: (703) 232-7977
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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 number1699406975
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedJune 18, 2022
Last updated in NPPESJune 18, 2022
Certification dateMay 15, 2022

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