Individual provider Active NPI

John C Faulstick, ATC LAT

  • Athletic Trainer
  • Kent, OH
National Provider Identifier
1891767521
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-000041 Issued in OH
Practice address
Dix Stadium Athletic Training Room
Kent State University
Kent, OH 44242-0001
Phone
(330) 672-2786
Fax
(330) 672-5520
NPI assigned
Feb 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-000041 OH Primary

Addresses

Primary practice location

Dix Stadium Athletic Training Room
Kent State University
Kent, OH 44242-0001

Mailing address

4374 Hattrick Rd
Rootstown, OH 44272-9770
Phone (330) 325-9785

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

LicenseStateTypeSpecialty
AT-000041OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891767521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 HATTRICK RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729770",
            "telephone_number": "330-325-9785",
            "fax_number": "330-672-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DIX STADIUM ATHLETIC TRAINING ROOM",
            "address_2": "KENT STATE UNIVERSITY",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442420001",
            "telephone_number": "330-672-2786",
            "fax_number": "330-672-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULSTICK",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "ATC LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT-000041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • 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.