Jack Bixler
Specialist/Technologist, Athletic Trainer in Philadelphia, Pennsylvania
1114568052- Practice location
- 9601 Germantown Ave, Philadelphia, PA 19118-2693
- Phone
- 484-667-9540
- Fax
- —
- Last updated
- September 23, 2021
Jack Bixler is a Specialist/Technologist, Athletic Trainer based in Philadelphia, PA. Jack Bixler practices in Philadelphia, PA. The NPI Number for Jack Bixler is 1114568052 and holds a License No. RT007755 (PA). The current practice location address for Jack Bixler is 9601 Germantown Ave, Philadelphia, PA 19118-2693 and can be reached out via phone at 484-667-9540.
Provider Profile Details
- NPI Number
- 1114568052
- Provider Name
- Jack Bixler
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 9601 Germantown Ave, Philadelphia, PA 19118-2693
- Phone Number
- 484-667-9540
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 2, 2019
- Last Update Date
- September 23, 2021
- Certification Date
- September 23, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9601 Germantown Ave
Philadelphia, PA 19118-2693 - City
- Philadelphia
- State
- Pennsylvania
- Zip
- 19118-2693
- Phone Number
- 484-667-9540
Provider Business Mailing Address Details
- Address
- 1317 Stonegate Dr
Downingtown, PA 19335-5602 - City
- Downingtown
- State
- PA
- Zip
- 19335-5602
- Phone Number
- 484-667-9540
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- RT007755
- License State (2)
- PA
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jack Bixler?
The NPI number of Jack Bixler is 1114568052. It was assigned on October 2, 2019 and is currently active in the NPPES registry.
What is the specialty of Jack Bixler?
Jack Bixler is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in PA under license number RT007755.
Where does Jack Bixler practice?
The practice location is 9601 Germantown Ave, Philadelphia, PA 19118-2693. The office can be reached at 484-667-9540 (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 1114568052 directly on the NPPES registry website.