Bryan Jett, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3272 Issued in OH

Practice address

2651 O'Varsity Way Suite 265
Cincinnati, OH 45221-0001

Phone

(513) 556-4352

NPI assigned

Mar 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1710686365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 TEALTOWN RD",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451509730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 O'VARSITY WAY SUITE 265",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452210001",
            "telephone_number": "513-556-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "BRYAN",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1144",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT3272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrison Jester
• Nicolas Jester
• La'Risha Rona'E Jeter, APRN
• Stephanie Jeter, M.A., CCC-SLP
• Tiffany Jeter
• Deborah Jean Jett, R.N.
• Demecia Jett
• Demetrius Jett
• Katherine A Jett
• Paula Jett

• Athletic Trainer in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.