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

MS. Kasandra Johnson, BS, ATC

Individual provider Athletic Trainer · NPI 1891412516

MS. Kasandra Johnson, BS, ATC is an Athletic Trainer in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

953 Danby Rd
Ithaca, NY 14850-7002
Phone: (518) 681-7243
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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 004492-01 (NY)

Record details

NPI number1891412516
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , ATC
Sole proprietorYes
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

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