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

Jennifer Alt

Individual provider Athletic Trainer · NPI 1578137733

Jennifer Alt is an Athletic Trainer in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

4 Alden Way
Port Jefferson Station, NY 11776-4204
Phone: (631) 332-6387
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 031822 (NY)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1578137733
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2021
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022
Mailing address4 Alden Way, Port Jefferson Station, NY 11776-4204

Other providers in Port Jefferson Station