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

Dr. Jatin P Ambegaonkar, PHDATCOTCSCS

Individual provider Athletic Trainer · NPI 1518270305

Dr. Jatin P Ambegaonkar, PHDATCOTCSCS is an Athletic Trainer in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010

Practice location Address checks out

10900 University Blvd MS 4E5 - 208 C Bull Run Hall
Manassas, VA 20110-2201
Phone: (703) 993-2123
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126001129 (VA)

Record details

NPI number1518270305
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDATCOTCSCS
Sole proprietorNo
NPI enumeratedJuly 21, 2010
Last updated in NPPESJuly 21, 2010

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