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

Mr. Edward Shalom, CPT, FNS

Individual provider Athletic Trainer · NPI 1386211605

Mr. Edward Shalom, CPT, FNS is an Athletic Trainer in Hyattsville, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

4111 Jefferson St
Hyattsville, MD 20781-1705
Phone: (240) 383-0139
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence T212693 (MD)

Record details

NPI number1386211605
Entity typeIndividual (Type 1)
GenderMale
Credentials CPT , FNS
Sole proprietorYes
NPI enumeratedJune 6, 2021
Last updated in NPPESJune 6, 2021
Certification dateJune 6, 2021

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