MR. DAVID JACK ATC
NPI 1235416686
Specialist/Technologist - Athletic Trainer in Fresno, CA

Q: What is David Jack's NPI number?

The NPI number for David Jack is 1235416686. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Q: What is David Jack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Jack was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 14, 2011

1620 E BULLDOG LN, FRESNO, CA 93740(559) 278-4170(559) 278-8355 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. David Jack Atc NPPES

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

MR. DAVID JACK ATC (NPI 1235416686) is an individual athletic trainer provider in Fresno, California and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1235416686

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. DAVID JACKCredential: ATC

Location Address1620 E BULLDOG LNFresno, CA 93740-0001

Mailing Address1620 E Bulldog LnFresno, CA 93740-0001 · (559) 278-4170 · Fax (559) 278-8355

Phone(559) 278-4170

Fax(559) 278-8355

Sole ProprietorNo

Enumeration DateNovember 14, 2011

✔ NPI 1235416686 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.

1620 E BULLDOG LN, Fresno, CA 93740

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Other Identifiers 1

Other22CA · Respiratory, Rehabilitative & Restorative Service Providers

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALIFORNIA STATE UNIVERSITY FRESNO ATHLETIC CORPORATION

Family Medicine (Sports Medicine)

1620 E BULLDOG LN
FRESNO, CA 93740

Fresno County (559) 278-4170

SEAN FITZSIMMONS

Specialist/Technologist (Athletic Trainer)

1620 E BULLDOG LN
FRESNO, CA 93740

Fresno County (559) 278-4170

SARAH TACKETT ATC

Specialist/Technologist (Athletic Trainer)

1620 E BULLDOG LN, MS OF87
FRESNO, CA 93740

Fresno County (559) 278-4170

MR. ANTHONY HILL MS, ATC, PES

Specialist/Technologist (Athletic Trainer)

1620 E BULLDOG LN
FRESNO, CA 93740

Fresno County (559) 278-2597

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 David Jack's NPI number?

The NPI number for David Jack is 1235416686. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Where is David Jack located?

David Jack practices at 1620 E Bulldog Ln, Fresno, CA 93740. The listed phone number is (559) 278-4170.

What is David Jack'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 David Jack was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.