MRS. JAMIE MARIE DEROLLO MBA, ATC
NPI 1558764274
Specialist/Technologist - Athletic Trainer in Stockton, CA

Active since October 08, 2014
5151 PACIFIC AVE, STOCKTON, CA 95207(209) 954-5181(209) 954-5696 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jamie Marie Derollo Mba, Atc NPPES

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

MRS. JAMIE MARIE DEROLLO MBA, ATC (NPI 1558764274) is an individual athletic trainer provider in Stockton, California and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1558764274
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. JAMIE MARIE DEROLLOCredential: MBA, ATC
Location Address5151 PACIFIC AVEStockton, CA 95207-6304
Mailing Address5303 Spaulding CtRiverbank, CA 95367-9463 · (209) 954-5181 · Fax (209) 954-5696
Fax(209) 954-5696
Sole ProprietorNo
Enumeration DateOctober 8, 2014
NPI 1558764274 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.

5151 PACIFIC AVE, Stockton, CA 95207

Other Providers at the Same Location NPPES 5

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

Specialist/Technologist (Athletic Trainer)
5151 PACIFIC AVE
STOCKTON, CA 95207
Specialist/Technologist, Other
5151 PACIFIC AVE
STOCKTON, CA 95207
Clinic/Center (Federally Qualified Health Center (FQHC))
5151 PACIFIC AVE, LOCK CENTER ROOM 126 & 128
STOCKTON, CA 95207
Student in an Organized Health Care Education/Training Program
5151 PACIFIC AVE
STOCKTON, CA 95207
Licensed Psychiatric Technician
5151 PACIFIC AVE
STOCKTON, CA 95207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558764274, enumerated as an "individual" on October 08, 2014.

The provider is located at 5151 PACIFIC AVE STOCKTON, CA 95207 and the phone number is (209) 954-5181.

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