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

Jake Simon

Individual provider Athletic Trainer · NPI 1871087551

Jake Simon is an Athletic Trainer in Nottingham, New Hampshire. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

22 Berry Rd
Nottingham, NH 03290-5402
Phone: (617) 990-4929
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 25194 (MA)
Athletic Trainer Taxonomy 2255A2300X
Athletic Trainer Taxonomy 2255A2300X · Licence 3253 (MA)

Record details

NPI number1871087551
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020
Mailing address22 Berry Rd, Nottingham, NH 03290-5402