Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275109662 Individual Practitioner Male Practitioner

Brian Lee Hannibal

Specialist/Technologist - Athletic Trainer • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Brian Hannibal is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Spokane, WA. Practice services are available at 623 W GARLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

623 W Garland Ave

Spokane, WA 992052956

Telephone 5092099488
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
68 Specialists

Practicing in Spokane, WA (828 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-12
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License WA A161663014

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Alayna Davidson , MSAT

Specialist/Technologist - Athletic Trainer

NPI 1033843545
NPI 1063748010

Physical Therapist, Doctor of Physical Therapy, COMT

NPI 1205108644

Physical Therapist, Doctor of Physical Therapy, Certified Strength and Conditioning Specialist

NPI 1336652981

Physical Therapist, Doctor of Physical Therapy

NPI 1588998553

Physical Therapist, Doctor of Physical Therapy, COMT

NPI 1649623729

Licensed Massage Practitioner, Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 12, 2026

Registered at 623 W GARLAND AVE, SPOKANE, WA 992052956 (Tel: 5092099488)

📍
Updated Business Mailing Address January 12, 2026

Registered at 32832 N 14TH AVE, SPIRIT LAKE, ID 838697718 (Tel: 2086409401)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2026

Specialist/Technologist (License #A161663014 in WA)

NPI Profile Active May 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2021

Registered at 875 PERIMETER DR, MOSCOW, ID 838449803 (Tel: 2086409401)

📍
Updated Business Mailing Address May 27, 2021

Registered at 20717 N PINEHURST ST, RATHDRUM, ID 838588660 (Tel: 2086870943)

👤
Provider Name / Credentials Updated May 27, 2021

Recorded as BRIAN HANNIBAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2021

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration May 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275109662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2021
Last Update: January 12, 2026
Sole Proprietor: Yes

Mailing Address

32832 N 14th Ave

Spirit Lake, ID 838697718

Phone: 2086409401

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.