JOSHUA JACKSON
NPI 1760166052
Specialist/Technologist - Athletic Trainer in Berea, OH

Q: What is Joshua Jackson's NPI number?

The NPI number for Joshua Jackson is 1760166052. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Q: What is Joshua 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 Joshua Jackson was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 15, 2023

76 LOU GROZA BLVD, BEREA, OH 44017(732) 272-7869 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joshua Jackson NPPES

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

JOSHUA JACKSON (NPI 1760166052) is an individual athletic trainer provider in Berea, Ohio, licensed in Ohio (2000053452) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1760166052

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJOSHUA JACKSON

Location Address76 LOU GROZA BLVDBerea, OH 44017-1238

Mailing Address76 Lou Groza BlvdBerea, OH 44017-1238

Phone(732) 272-7869

Sole ProprietorYes

Enumeration DateJune 15, 2023

NPPES CertifiedJune 15, 2023

✔ NPI 1760166052 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 OH · 2000053452

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.

76 LOU GROZA BLVD, Berea, OH 44017

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Other Providers at the Same Location NPPES 10

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

MR. GORDON RIAN WILLIAMS ATC

Specialist/Technologist (Athletic Trainer)