Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Antonio Demetrius Johnson Jr., ATC

Individual provider Athletic Trainer · NPI 1578936647

Mr. Antonio Demetrius Johnson Jr., ATC is an Athletic Trainer in Niagara Falls, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
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

48 A St
Niagara Falls, NY 14303-2009
Phone: (716) 990-3308
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 083043-1 (NY)

Record details

NPI number1578936647
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 11, 2015
Last updated in NPPESNovember 11, 2015

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