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

Jillian Brenna Perrault, ATC

Individual provider Athletic Trainer · NPI 1720609894

Jillian Brenna Perrault, ATC is an Athletic Trainer in East Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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

5823 Widewaters Pkwy
East Syracuse, NY 13057-3084
Phone: (607) 483-3782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1720609894
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 30, 2020
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

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