Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Marie Jacobs

Individual provider Athletic Trainer · NPI 1386485167

Amanda Marie Jacobs is an Athletic Trainer in Southington, Connecticut. Works from 3 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2024
Specialties on file
2

Practice location Address checks out

720 Pleasant St
Southington, CT 06489-2752
Phone: (860) 628-3229
Fax: (860) 628-3397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1615 Stanley St, New Britain, CT 06050-2439 — (860) 832-2300
  • 98 Main St Ste 202, Southington, CT 06489-2500 — (860) 620-9954

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2043 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386485167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address41 Kingwood Pl, New Britain, CT 06053-1733

Other providers in Southington