JACQUELINE VANESSA RANDOLPH PERDOMO
NPI 1730030859
Specialist/Technologist - Athletic Trainer in Woodbridge, VA

Active since February 05, 2026
3221 BLUFF VIEW CT APT 204, WOODBRIDGE, VA 22192(703) 945-3393 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqueline Vanessa Randolph Perdomo NPPES

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

JACQUELINE VANESSA RANDOLPH PERDOMO (NPI 1730030859) is an individual athletic trainer provider in Woodbridge, Virginia and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1730030859
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJACQUELINE VANESSA RANDOLPH PERDOMO
Location Address3221 BLUFF VIEW CT APT 204Woodbridge, VA 22192-1763
Mailing Address3221 Bluff View Ct Apt 204Woodbridge, VA 22192-1763
Sole ProprietorNo
Enumeration DateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
NPI 1730030859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedMassage TherapistTaxonomy 225700000X · License 0019019815 (VA)
3221 BLUFF VIEW CT APT 204, Woodbridge, VA 22192

Other Names 1

Former Name (1)Jacqueline Vanessa Perdomo Trejo

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 Jacqueline Randolph Perdomo's NPI number?

The NPI number for Jacqueline Randolph Perdomo is 1730030859. It was assigned to this individual provider in the NPPES registry on February 5, 2026. The provider is also known as Jacqueline Vanessa Perdomo Trejo.

Where is Jacqueline Randolph Perdomo located?

Jacqueline Randolph Perdomo practices at 3221 Bluff View Ct Apt 204, Woodbridge, VA 22192. The listed phone number is (703) 945-3393.

What is Jacqueline Randolph Perdomo'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 Jacqueline Randolph Perdomo was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.