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

Jessica Boyle, PTDPT, LAT, ATC

Individual provider Athletic Trainer · NPI 1023574233

Jessica Boyle, PTDPT, LAT, ATC is an Athletic Trainer in New York, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

622 W 168th St Ph 11-102
New York, NY 10032-3720
Phone: (212) 326-3327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046560 (NY)
Athletic Trainer Taxonomy 2255A2300X · Licence 003433-1 (NY)

Record details

NPI number1023574233
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT , LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 12, 2019
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

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