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

Thaddeus O'Brien Avery II, MS, ATC, LAT

Individual provider Athletic Trainer · NPI 1790495679

Thaddeus O'Brien Avery II, MS, ATC, LAT is an Athletic Trainer in Germantown, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone: (901) 759-3100
Fax: (901) 759-3189
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 1171 (TN)

Record details

NPI number1790495679
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , LAT
Sole proprietorNo
NPI enumeratedDecember 1, 2022
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

Other providers in Germantown