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

Tracie Lynn Shaw, ATC, LAT

Individual provider Athletic Trainer · NPI 1093494080

Tracie Lynn Shaw, ATC, LAT is an Athletic Trainer in Washington, District of Columbia. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland, Texas and Virginia.

Licensed in
MD, TX, VA
In the registry since
2023
Specialties on file
3
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.

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Practice location Address checks out

3612 Woodley Rd NW
Washington, DC 20016-5033
Phone: (202) 537-5789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3411 Maple Bluff Ln, Bowie, MD 20715-1625 — (860) 377-8228

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence A00543 (MD)
Athletic Trainer Taxonomy 2255A2300X · Licence 0126001356 (VA)
Athletic Trainer Taxonomy 2255A2300X · Licence AT9216 (TX)

Record details

NPI number1093494080
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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