Luis Dejesus Jr., MA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1000 East Washington St.
Medina, OH 44256

Phone

(330) 725-1000

Fax

(330) 721-4913

NPI assigned

May 29, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1841426285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 SPRINGBROOK DR.",
            "address_2": "#202",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "724-734-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST WASHINGTON ST.",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-725-1000",
            "fax_number": "330-721-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Day
• Jairus Steven Dayhoff, MA, MS
• Elaine Halla De Moulin
• Cody Deeks, DPT
• Meghann Deis, DPT
• Gretchen Ann Delac, P.T.
• Patricia Lynn Delappi, OT
• Linda Demanou, FNP
• Janice Ann Demyan, LPN
• Denis J Slaby MD Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.