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

Mr. Philip M Madore, ATC

Individual provider Athletic Trainer · NPI 1639204027

Mr. Philip M Madore, ATC is an Athletic Trainer in Needham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
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

1191 Greendale Ave
Needham, MA 02492-4727
Phone: (781) 449-5200
Fax: (781) 449-5630
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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 1721 (MA)

Record details

NPI number1639204027
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 8, 2007

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