RAEYSHA SURENDRAN MS, ATC
NPI 1447081476
Specialist/Technologist - Athletic Trainer in East Setauket, NY

Q: What is Raeysha Surendran's NPI number?

The NPI number for Raeysha Surendran is 1447081476. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Q: What is Raeysha Surendran'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 Raeysha Surendran was last updated on September 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 12, 2024

6 TECHNOLOGY DR, EAST SETAUKET, NY 11733(631) 689-4197 Get Directions Write a Review

NPPES record last updated: September 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2024, Aug 12, 2024 (2 updates tracked since 2024).

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About Raeysha Surendran Ms, Atc NPPES

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

RAEYSHA SURENDRAN MS, ATC (NPI 1447081476) is an individual athletic trainer provider in East Setauket, New York, licensed in New York (004792) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1447081476

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameRAEYSHA SURENDRANCredential: MS, ATC

Location Address6 TECHNOLOGY DREast Setauket, NY 11733-4079

Mailing Address366 BroadwayAmityville, NY 11701-2784 · (937) 312-7909

Phone(631) 689-4197

Sole ProprietorNo

Enumeration DateAugust 12, 2024

Last NPPES UpdateSeptember 15, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2024

✔ NPI 1447081476 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 · 004792

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.

6 TECHNOLOGY DR, East Setauket, NY 11733

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