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

Jonathan Edwards, ATC

Individual provider Athletic Trainer · NPI 1639779309

Jonathan Edwards, ATC is an Athletic Trainer in Plattsburgh, New York. Works from 2 locations. 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

101 Broad St
Plattsburgh, NY 12901-2637
Phone: (518) 578-4158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39 Monty St, Plattsburgh, NY 12901-3702 — (518) 578-4158

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1639779309
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 30, 2020
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020
Mailing address39 Monty St, Plattsburgh, NY 12901-3702

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