Jonathan Chang, ATC

Individual provider Active NPI Athletic Trainer · Pineville, NC

NPI 1891364758 · NPPES record last updated Mar 7, 2025

Key facts

NPI
1891364758
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
13333 Dorman Rd
Pineville, NC 28134-9336
Phone
(704) 716-1024
NPI assigned
Jun 23, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

13333 Dorman Rd
Pineville, NC 28134-9336

Mailing address

8918 Blakeney Professional Dr Ste 120
Charlotte, NC 28277-6692
Phone (704) 900-8960

Other providers in Pineville, NC

All providers in Pineville, NC · Athletic Trainer in North Carolina

Sources for this page

Verify at the official NPI Registry.