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

Mr. Jason Louis Pennella, ATC

Individual provider Athletic Trainer · NPI 1053903278

Mr. Jason Louis Pennella, ATC is an Athletic Trainer in Salisbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2021.

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

251 Canaan Rd
Salisbury, CT 06068-1602
Phone: (315) 323-4566
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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 001070 (CT)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1053903278
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021

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