BENJAMIN FULLER ATC
NPI 1407400799
Specialist/Technologist - Athletic Trainer in Azusa, CA

Active since July 25, 2019
701 E FOOTHILL BLVD, AZUSA, CA 91702(626) 815-6000(626) 815-5442 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Benjamin Fuller Atc NPPES

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

BENJAMIN FULLER ATC (NPI 1407400799) is an individual athletic trainer provider in Azusa, California and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1407400799
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBENJAMIN FULLERCredential: ATC
Location Address701 E FOOTHILL BLVDAzusa, CA 91702-2606
Mailing AddressPo Box 7000Azusa, CA 91702-7000 · (626) 815-6000 · Fax (626) 815-5442
Fax(626) 815-5442
Sole ProprietorNo
Enumeration DateJuly 25, 2019
NPI 1407400799 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.

701 E FOOTHILL BLVD, Azusa, CA 91702

Other Providers at the Same Location NPPES 13

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

Physical Therapist (Orthopedic)
701 E FOOTHILL BLVD, MARY HILL 104
AZUSA, CA 91702
Specialist
701 E FOOTHILL BLVD
AZUSA, CA 91702
Student in an Organized Health Care Education/Training Program
701 E FOOTHILL BLVD, UNIT 1384
AZUSA, CA 91702
Nurse Practitioner (Family)
701 E FOOTHILL BLVD
AZUSA, CA 91702
Rehabilitation Hospital
701 E FOOTHILL BLVD
AZUSA, CA 91702
Registered Nurse (School)
701 E FOOTHILL BLVD
AZUSA, CA 91702
Student in an Organized Health Care Education/Training Program
701 E FOOTHILL BLVD
AZUSA, CA 91702
Student in an Organized Health Care Education/Training Program
701 E FOOTHILL BLVD
AZUSA, CA 91702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407400799, enumerated as an "individual" on July 25, 2019.

The provider is located at 701 E FOOTHILL BLVD AZUSA, CA 91702 and the phone number is (626) 815-6000.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.