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Active NPI 1639779309 Individual Practitioner Male Practitioner

Jonathan Edwards , ATC

Specialist/Technologist - Athletic Trainer • Plattsburgh, NY

Professional Overview & Biography Verified Profile Summary

Jonathan Edwards, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Plattsburgh, NY. Practice services are available at 101 BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Broad St

Plattsburgh, NY 129012637

Telephone 5185784158
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Plattsburgh, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Plattsburgh, NY (1618 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: 2020-11-20
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

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.

Secondary Practice Locations

39 Monty St

Plattsburgh, NY 129013702

Phone: 5185784158

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1003039975

Doctor of Medicine (M.D.)

Dr. Laci Charette , PsyD

Psychologist - School

NPI 1093115107

Doctor of Psychology (Psy.D.)

Dr. Suzanne Hungerford , PhD, CCC-SLP

Speech-Language Pathologist

NPI 1184712150

Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)

Lisa Vicencio , ATC

Specialist/Technologist - Athletic Trainer

NPI 1235775768

Certified Athletic Trainer

Vera Delorme , MA

Speech-Language Pathologist

NPI 1295910552

Master of Arts

Dr. Raymond Domenico , PhD, CCC-SLP

Speech-Language Pathologist

NPI 1407945868

Doctor of Philosophy (Ph.D.), Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location November 20, 2020

Registered at 101 BROAD ST, PLATTSBURGH, NY 129012637 (Tel: 5185784158)

NPI Profile Active October 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2020

Registered at 39 MONTY ST, PLATTSBURGH, NY 129013702 (Tel: 5185784158)

📍
Updated Business Mailing Address October 30, 2020

Registered at 39 MONTY ST, PLATTSBURGH, NY 129013702 (Tel: 5185784158)

👤
Provider Name / Credentials Updated October 30, 2020

Recorded as JONATHAN EDWARDS, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2020

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration October 30, 2020

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: 1639779309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2020
Last Update: November 20, 2020
Sole Proprietor: No

Mailing Address

39 Monty St

Plattsburgh, NY 129013702

Phone: 5185784158

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.