Dillon Douglass, DPT, ATC
Specialist/Technologist, Athletic Trainer in East Rutherford, New Jersey
1013532357- Practice location
- 1925 Giants Dr, East Rutherford, NJ 07073-2140
- Phone
- 201-935-8111
- Fax
- —
- Last updated
- April 18, 2024
Dillon Douglass is a Specialist/Technologist, Athletic Trainer based in East Rutherford, NJ. Dillon Douglass practices in East Rutherford, NJ and has the professional credentials of DPT, ATC. The NPI Number for Dillon Douglass is 1013532357 and holds a License No. 25MT00315800 (NJ). The current practice location address for Dillon Douglass is 1925 Giants Dr, East Rutherford, NJ 07073-2140 and can be reached out via phone at 201-935-8111.
Provider Profile Details
- NPI Number
- 1013532357
- Provider Name
- Dillon Douglass
- Credential
- DPT, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1925 Giants Dr, East Rutherford, NJ 07073-2140
- Phone Number
- 201-935-8111
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2020
- Last Update Date
- April 18, 2024
- Certification Date
- April 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1925 Giants Dr
East Rutherford, NJ 07073-2140 - City
- East Rutherford
- State
- New Jersey
- Zip
- 07073-2140
- Phone Number
- 201-935-8111
Provider Business Mailing Address Details
- Address
- 100 Schindler CT Apt 166
East Rutherford, NJ 07073-2173 - City
- East Rutherford
- State
- NJ
- Zip
- 07073-2173
License Information
- License Number (1)
- 25MT00315800
- License State (1)
- NJ
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
- License Number (2)
- 40QA02176600
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapist · 225100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near East Rutherford, NJ
View all Specialist/Technologist, Athletic Trainers in East Rutherford →- Caryn French, ATC, LATSpecialist/Technologist, Athletic Trainer · NPI 1629949250
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Frequently Asked Questions
What is the NPI number of Dillon Douglass, DPT, ATC?
The NPI number of Dillon Douglass, DPT, ATC is 1013532357. It was assigned on June 12, 2020 and is currently active in the NPPES registry.
What is the specialty of Dillon Douglass, DPT, ATC?
Dillon Douglass, DPT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00315800.
Where does Dillon Douglass, DPT, ATC practice?
The practice location is 1925 Giants Dr, East Rutherford, NJ 07073-2140. The office can be reached at 201-935-8111 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013532357 directly on the NPPES registry website.