Chuck Whedon, ATC, CSCS

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

25MT00029700 Issued in NJ

Practice address

201 Mullica Hill Rd
Rowan University Athletic Training
Glassboro, NJ 08028-1700

Phone

(856) 863-3637

Fax

(856) 863-3704

NPI assigned

Aug 18, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538151121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "address_2": "ROWAN UNIVERSITY ATHLETIC TRAINING",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-863-3637",
            "fax_number": "856-863-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "address_2": "ROWAN UNIVERSITY ATHLETIC TRAINING",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-863-3637",
            "fax_number": "856-863-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEDON",
        "first_name": "CHUCK",
        "name_prefix": "Mr.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NJ",
            "license": "25MT00029700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "25MT00029700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Rehabilitation Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.