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

Mr. Robert Richard Dejohn Jr., ATC

Individual provider Athletic Trainer · NPI 1083687453

Mr. Robert Richard Dejohn Jr., ATC is an Athletic Trainer in Tonawanda, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

2540 Sheridan Dr
Tonawanda, NY 14150-9410
Phone: (716) 862-0567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 000162 (NY)

Record details

NPI number1083687453
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESJuly 8, 2007

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