Active NPIIndividual provider

Ms. Jennifer J Freese, ATC

Specialist/Technologist, Athletic Trainer in Canton, Connecticut

NPI Number1487643490
Practice location
166 Albany Tpke, Canton, CT 06019-2546
Fax
—
Last updated
July 13, 2026

Jennifer Johnson Freese is a Specialist/Technologist, Athletic Trainer based in Canton, CT. Jennifer Johnson Freese practices in Canton, CT and has the professional credentials of ATC. The NPI Number for Jennifer Johnson Freese is 1487643490. The current practice location address for Jennifer Johnson Freese is 166 Albany Tpke, Canton, CT 06019-2546 and can be reached out via phone at 860-693-8835.

Provider Profile Details

NPI Number
1487643490
Provider Name
Jennifer Johnson Freese
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
166 Albany Tpke, Canton, CT 06019-2546
Phone Number
860-693-8835
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
October 21, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Albany Tpke
Canton, CT 06019-2546
City
Canton
Zip
06019-2546
Phone Number
860-693-8835
Canton, CT 06019Get directions →

Provider Business Mailing Address Details

Address
111 Clarendon Ter
Newington, CT 06111-3609
City
Newington
State
CT
Zip
06111-3609
Phone Number
860-204-3476

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Jennifer J Freese, ATC?

The NPI number of Ms. Jennifer J Freese, ATC is 1487643490. It was assigned on October 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer J Freese, ATC?

Ms. Jennifer J Freese, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Ms. Jennifer J Freese, ATC practice?

The practice location is 166 Albany Tpke, Canton, CT 06019-2546. The office can be reached at 860-693-8835 (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 1487643490 directly on the NPPES registry website.

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