Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Marie Brown, ATC, LAT, MS, CPT

Individual provider Athletic Trainer · NPI 1043963309

Shannon Marie Brown, ATC, LAT, MS, CPT is an Athletic Trainer in Fairfax, Virginia. Practices as a sole proprietor and works from 2 locations. 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.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

11204 Braddock Rd
Fairfax, VA 22030-5405
Phone: (804) 832-0972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10260 Main St, Fairfax, VA 22030-2404 — (571) 279-6844

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1043963309
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT , MS , CPT
Sole proprietorYes
NPI enumeratedJanuary 27, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

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