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

Shannon Clegg, MED, ATC, CES, PES

Individual provider Athletic Trainer · NPI 1689050874

Shannon Clegg, MED, ATC, CES, PES is an Athletic Trainer in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2015
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1900 W Olney Ave
Philadelphia, PA 19141-1108
Phone: (215) 951-1519
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT004086 (PA)

Record details

NPI number1689050874
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , ATC , CES , PES
Sole proprietorYes
NPI enumeratedAugust 11, 2015
Last updated in NPPESAugust 11, 2015

Other providers in Philadelphia