MR. JASON SCOTT PEQUETTE MS,ATC,CSCS
NPI 1629046826
Specialist/Technologist - Athletic Trainer in Bolingbrook, IL

Q: What is Jason Pequette's NPI number?

The NPI number for Jason Pequette is 1629046826. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Jason Pequette'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 Jason Pequette was last updated on January 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 March 14, 2006

790 REMINGTON BLVD, BOLINGBROOK, IL 60440(630) 269-2222 Get Directions Write a Review

NPPES record last updated: January 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jason Scott Pequette Ms,atc,cscs NPPES

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

MR. JASON SCOTT PEQUETTE MS,ATC,CSCS (NPI 1629046826) is an individual athletic trainer provider in Bolingbrook, Illinois, licensed in Illinois (096-001043) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1629046826

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. JASON SCOTT PEQUETTECredential: MS,ATC,CSCS

Location Address790 REMINGTON BLVDBolingbrook, IL 60440-4909

Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (630) 296-2222

Phone(630) 269-2222

Sole ProprietorYes

Enumeration DateMarch 14, 2006

Last NPPES UpdateJanuary 19, 2015

✔ NPI 1629046826 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 IL · 096-001043

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.

790 REMINGTON BLVD, Bolingbrook, IL 60440

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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.

PATRICIA RICHARDSON ATC

Specialist/Technologist (Athletic Trainer)