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JONATHAN EDWARDS ATC
NPI 1639779309
Specialist/Technologist - Athletic Trainer in Plattsburgh, NY

Active since October 30, 2020
101 BROAD ST, PLATTSBURGH, NY 12901(518) 578-4158 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2020, Oct 30, 2020 (2 updates tracked since 2020).

About Jonathan Edwards Atc NPPES

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

JONATHAN EDWARDS ATC (NPI 1639779309) is an individual athletic trainer provider in Plattsburgh, New York and active in the NPI registry since October 2020. He maintains a secondary practice location in Plattsburgh.

NPPES Registry Identity

NPI1639779309
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJONATHAN EDWARDSCredential: ATC
Location Address101 BROAD STPlattsburgh, NY 12901-2637
Mailing Address39 Monty StPlattsburgh, NY 12901-3702 · (518) 578-4158
Phone(518) 578-4158
Sole ProprietorNo
Enumeration DateOctober 30, 2020
Last NPPES UpdateNovember 20, 20202 updates tracked since enumeration
NPPES CertifiedNovember 20, 2020
✔ NPI 1639779309 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.
101 BROAD ST, Plattsburgh, NY 12901
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Secondary Practice Location 1

Location 139 Monty StPlattsburgh, NY 12901-3702 · Phone (518) 578-4158

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.

DR. JEROME ALFRED DAVIS M.D.
Specialist
101 BROAD ST
PLATTSBURGH, NY 12901
Clinton County (518) 564-2187
DR. LACI CHARETTE PSY.D.
Psychologist (School)
101 BROAD ST
PLATTSBURGH, NY 12901
Clinton County (518) 564-3385
DR. SUZANNE MARY HUNGERFORD PH.D., CCC-SLP
Speech-Language Pathologist
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
MRS. LISA ANN VICENCIO ATC
Specialist/Technologist (Athletic Trainer)
101 BROAD ST
PLATTSBURGH, NY 12901
Clinton County (518) 564-4152
MRS. VERA S DELORME M.A.
Speech-Language Pathologist
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
DR. RAYMOND ANTHONY DOMENICO PH.D., CCC-SLP
Speech-Language Pathologist
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
PLATTSBURGH STATE UNIVERSITY SPEECH AND HEARING CENTER
Clinic/Center (Hearing and Speech)
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170
DR. PATRICK COPPENS PH.D., CCC-SLP
Speech-Language Pathologist
101 BROAD ST, 224 SIBLEY HALL
PLATTSBURGH, NY 12901
Clinton County (518) 564-2170

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 Jonathan Edwards's NPI number?

The NPI number for Jonathan Edwards is 1639779309. It was assigned to this individual provider in the NPPES registry on October 30, 2020.

Where is Jonathan Edwards located?

Jonathan Edwards practices at 101 Broad St, Plattsburgh, NY 12901. The listed phone number is (518) 578-4158.

What is Jonathan Edwards'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 Jonathan Edwards was last updated on November 20, 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.