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JUSTIN ADAM BRUCKNER LAT, ATC
NPI 1225545411
Specialist/Technologist - Athletic Trainer in West Islip, NY

Active since January 09, 2018
777 PINE AVE, WEST ISLIP, NY 11795(631) 456-1779 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2021, Jan 9, 2018 (2 updates tracked since 2018).

About Justin Adam Bruckner Lat, Atc NPPES

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

JUSTIN ADAM BRUCKNER LAT, ATC (NPI 1225545411) is an individual athletic trainer provider in West Islip, New York, licensed in Pennsylvania (RTO000506) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1225545411
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJUSTIN ADAM BRUCKNERCredential: LAT, ATC
Location Address777 PINE AVEWest Islip, NY 11795-2707
Mailing Address777 Pine AveWest Islip, NY 11795-2707 · (631) 456-1779
Phone(631) 456-1779
Sole ProprietorNo
Enumeration DateJanuary 9, 2018
Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2021
✔ NPI 1225545411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in PA · RTO000506
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
777 PINE AVE, West Islip, NY 11795
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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 Justin Bruckner's NPI number?

The NPI number for Justin Bruckner is 1225545411. It was assigned to this individual provider in the NPPES registry on January 9, 2018.

Where is Justin Bruckner located?

Justin Bruckner practices at 777 Pine Ave, West Islip, NY 11795. The listed phone number is (631) 456-1779.

What is Justin Bruckner'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 Justin Bruckner was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.