Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093665440 Individual Practitioner Male Practitioner

Jonathan Michael Wall

Specialist/Technologist - Athletic Trainer • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Jonathan Wall is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Fairfax, VA. Practice services are available at 13298C BLUEBERRY LN APT 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13298c Blueberry Ln Apt 103

Fairfax, VA 220334864

Telephone 7039938350

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Fairfax, VA (1463 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: 2026-02-03
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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 03, 2026

NPI status registered as active in NPPES database

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Updated Practice Location February 03, 2026

Registered at 13298C BLUEBERRY LN APT 103, FAIRFAX, VA 220334864 (Tel: 7039938350)

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Updated Business Mailing Address February 03, 2026

Registered at 13298C BLUEBERRY LN APT 103, FAIRFAX, VA 220334864 (Tel: 7039938350)

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Provider Name / Credentials Updated February 03, 2026

Recorded as JONATHAN WALL

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2026

Specialist/Technologist

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Initial NPI Registration & Enumeration February 03, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093665440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2026
Last Update: February 03, 2026
Sole Proprietor: Yes

Mailing Address

13298c Blueberry Ln Apt 103

Fairfax, VA 220334864

Phone: 7039938350

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.