JONATHAN MICHAEL WALL
NPI 1093665440
Specialist/Technologist - Athletic Trainer in Fairfax, VA

Active since February 03, 2026
13298C BLUEBERRY LN APT 103, FAIRFAX, VA 22033(703) 993-8350 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Michael Wall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN MICHAEL WALL (NPI 1093665440) is an individual athletic trainer provider in Fairfax, Virginia and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1093665440
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJONATHAN MICHAEL WALL
Location Address13298C BLUEBERRY LN APT 103Fairfax, VA 22033-4864
Mailing Address13298c Blueberry Ln Apt 103Fairfax, VA 22033-4864 · (703) 993-8350
Sole ProprietorYes
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
NPI 1093665440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
13298C BLUEBERRY LN APT 103, Fairfax, VA 22033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Wall's NPI number?

The NPI number for Jonathan Wall is 1093665440. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Jonathan Wall located?

Jonathan Wall practices at 13298C Blueberry Ln Apt 103, Fairfax, VA 22033. The listed phone number is (703) 993-8350.

What is Jonathan Wall's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jonathan Wall was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.