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Deactivated NPI 1225164411 Deactivated / Inactive NPI Male Practitioner

David Kenneth Johnson , ATC

Specialist/Technologist - Athletic Trainer • Enfield, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2007
NPI Deactivation Date October 22, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

David Johnson, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Enfield, CT. Throughout an active medical career spanning 14 years, David Johnson provided care at the practice location at 12 RIVERDALE RD until profile deactivation on 2021-10-22.

Practice Location & Contact Primary Location

Practice Address

12 Riverdale Rd

Enfield, CT 060824348

Telephone 8607415330

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Enfield, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Enfield, CT (638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License CT 000106

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 22, 2021

Record deactivated on October 22, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12 RIVERDALE RD, ENFIELD, CT 060824348 (Tel: 8607415330)

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Updated Business Mailing Address July 08, 2007

Registered at 12 RIVERDALE RD, ENFIELD, CT 060824348 (Tel: 8607415330)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID JOHNSON, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #000106 in CT)

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Initial NPI Registration & Enumeration February 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225164411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2007
Last Update: July 08, 2007
Deactivation Date: October 22, 2021

Mailing Address

12 Riverdale Rd

Enfield, CT 060824348

Phone: 8607415330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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