JOHN LEONARD JACKSON
NPI 1609482702
Specialist/Technologist - Athletic Trainer in Brockport, NY

Q: What is John Jackson's NPI number?

The NPI number for John Jackson is 1609482702. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Q: What is John Jackson'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 John Jackson was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 23, 2020

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

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Leonard Jackson NPPES

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

JOHN LEONARD JACKSON (NPI 1609482702) is an individual athletic trainer provider in Brockport, New York, licensed in New York (000254) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1609482702

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJOHN LEONARD JACKSON

Location Address350 NEW CAMPUS DRBrockport, NY 14420-2997

Mailing Address350 New Campus DrBrockport, NY 14420-2997 · (585) 395-5374

Phone(585) 395-5374

Sole ProprietorNo

Enumeration DateSeptember 23, 2020

NPPES CertifiedSeptember 23, 2020

✔ NPI 1609482702 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 · 000254

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

LYDIA ALICE JOHNSON

Specialist/Technologist (Athletic Trainer)

350 NEW CAMPUS DR
BROCKPORT, NY 14420

Monroe County (585) 395-5374

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)

350 NEW CAMPUS DR
BROCKPORT, NY 14420

Monroe County (585) 395-2211

QUINN MALONEY

Nurse Practitioner (Family)

350 NEW CAMPUS DR
BROCKPORT, NY 14420

Monroe County (585) 395-2414

MR. KYLE WILLIAM CANAVALLY JR. ATC.

Specialist/Technologist (Athletic Trainer)

350 NEW CAMPUS DR
BROCKPORT, NY 14420

Monroe County (585) 395-5374

ELIZABETH S CARUSO ANP

Nurse Practitioner (Adult Health)

350 NEW CAMPUS DR
BROCKPORT, NY 14420

Monroe County (585) 395-2414

COREY EVERETT LUCEY

Student in an Organized Health Care Education/Training Program

350 NEW CAMPUS DR
BROCKPORT, NY 14420

Monroe County (585) 395-2211

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 John Jackson's NPI number?

The NPI number for John Jackson is 1609482702. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is John Jackson located?

John Jackson practices at 350 New Campus Dr, Brockport, NY 14420. The listed phone number is (585) 395-5374.

What is John Jackson'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 John Jackson was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.