LYDIA ALICE JOHNSON
NPI 1235859778
Specialist/Technologist - Athletic Trainer in Brockport, NY

Q: What is Lydia Johnson's NPI number?

The NPI number for Lydia Johnson is 1235859778. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Q: What is Lydia Johnson'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 Lydia Johnson was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 02, 2022

350 NEW CAMPUS DR, BROCKPORT, NY 14420(585) 395-5374 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lydia Alice Johnson NPPES

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

LYDIA ALICE JOHNSON (NPI 1235859778) is an individual athletic trainer provider in Brockport, New York, licensed in New York (004486) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1235859778

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameLYDIA ALICE JOHNSON

Location Address350 NEW CAMPUS DRBrockport, NY 14420-2914

Mailing Address636 Park Hill RdErin, NY 14838-9755

Phone(585) 395-5374

Sole ProprietorNo

Enumeration DateSeptember 2, 2022

NPPES CertifiedSeptember 2, 2022

✔ NPI 1235859778 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

License✔ Licensed in NY · 004486

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.

350 NEW CAMPUS DR, Brockport, NY 14420

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Other Providers at the Same Location NPPES 20

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

STATE UNIVERSITY OF NEW YORK COLLEGE AT BROCKPORT

Clinic/Center (Student Health)

350 NEW CAMPUS DR, HAZEN HALL
BROCKPORT, NY 14420

Monroe County (585) 395-2414

CHERYL M VAN LARE NP

Nurse Practitioner (Family)

350 NEW CAMPUS DR, HAZEN STUDENT HEALTH CENTER
BROCKPORT, NY 14420

Monroe County (585) 395-2414

ASHLEY D BECKWITH RN

Nurse Practitioner (Family)