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Active NPI 1730840141 Individual Practitioner Male Practitioner

Kyle Diedrich Kutsup , ATC, LAT

Specialist/Technologist - Athletic Trainer • Sparta, NJ

Professional Overview & Biography Verified Profile Summary

Kyle Kutsup, ATC, LAT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Sparta, NJ. Practice services are available at 35 CONESTOGA TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35 Conestoga Trl

Sparta, NJ 078712507

Telephone 9734607708

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Sparta, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Sparta, NJ (1155 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

CMS Verified: 2022-01-05
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License NJ 25MT00184400

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

6 Historical Events
NPI Profile Active January 07, 2022

NPI status registered as active in NPPES database

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Updated Practice Location January 07, 2022

Registered at 35 CONESTOGA TRL, SPARTA, NJ 078712507 (Tel: 9734607708)

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Updated Business Mailing Address January 07, 2022

Registered at 35 CONESTOGA TRL, SPARTA, NJ 078712507 (Tel: 9734607708)

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Provider Name / Credentials Updated January 07, 2022

Recorded as KYLE KUTSUP, ATC, LAT

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2022

Specialist/Technologist (License #25MT00184400 in NJ)

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Initial NPI Registration & Enumeration January 07, 2022

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: 1730840141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2022
Last Update: January 07, 2022
Sole Proprietor: No

Mailing Address

35 Conestoga Trl

Sparta, NJ 078712507

Phone: 9734607708

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.