Jonathan Reidy, LAT, ATC
Specialist/Technologist, Athletic Trainer in Winston Salem, North Carolina
1134574932- Practice location
- Medical Center Blvd, Winston Salem, NC 27103
- Phone
- 336-408-2776
- Fax
- —
- Last updated
- June 29, 2018
Jonathan Reidy is a Specialist/Technologist, Athletic Trainer based in Winston Salem, NC. Jonathan Reidy practices in Winston Salem, NC and has the professional credentials of LAT, ATC. The NPI Number for Jonathan Reidy is 1134574932. The current practice location address for Jonathan Reidy is Medical Center Blvd, Winston Salem, NC 27103 and can be reached out via phone at 336-408-2776.
Provider Profile Details
- NPI Number
- 1134574932
- Provider Name
- Jonathan Reidy
- Credential
- LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Medical Center Blvd, Winston Salem, NC 27103
- Phone Number
- 336-408-2776
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 28, 2016
- Last Update Date
- June 29, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Medical Center Blvd
Winston Salem, NC 27103 - City
- Winston Salem
- State
- North Carolina
- Zip
- 27103
- Phone Number
- 336-408-2776
Provider Business Mailing Address Details
- Address
- 30 Richardson Pl
Agawam, MA 01001-3438 - City
- Agawam
- State
- MA
- Zip
- 01001-3438
- Phone Number
- 413-237-8926
License Information
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
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 Jonathan Reidy, LAT, ATC?
The NPI number of Jonathan Reidy, LAT, ATC is 1134574932. It was assigned on April 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Jonathan Reidy, LAT, ATC?
Jonathan Reidy, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).
Where does Jonathan Reidy, LAT, ATC practice?
The practice location is Medical Center Blvd, Winston Salem, NC 27103. The office can be reached at 336-408-2776 (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 1134574932 directly on the NPPES registry website.