Active NPI
Austin Mackenzie Jones, ATC
- Athletic Trainer
- Troy, NY
National Provider Identifier
1588482152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 003578-01
- Practice address
- 110 8TH St
Troy, NY 12180-3522 - Phone
- (518) 276-4891
- NPI assigned
- Oct 1, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003578-01 | NY | Primary |
Addresses
Primary practice location
110 8TH St
Troy, NY 12180-3522
Mailing address
764 Pawling Ave FL 2
Troy, NY 12180-6213
Phone (518) 496-6638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003578-01 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1588482152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 PAWLING AVE FL 2",
"city": "TROY",
"state": "NY",
"postal_code": "121806213",
"telephone_number": "518-496-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 8TH ST",
"city": "TROY",
"state": "NY",
"postal_code": "121803522",
"telephone_number": "518-276-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "AUSTIN",
"middle_name": "MACKENZIE",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "003578-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.