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

Courtney Jean Defeo, ATC

Individual provider Athletic Trainer · NPI 1497591804

Courtney Jean Defeo, ATC is an Athletic Trainer in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.

Licensed in
NJ
In the registry since
2024
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2-22 Banta Pl
Fair Lawn, NJ 07410-3058
Phone: (201) 509-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00328800 (NJ)

Record details

NPI number1497591804
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 4, 2024
Last updated in NPPESJuly 4, 2024
Certification dateJuly 4, 2024

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