Jeremy David Clipperton, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

009376 Issued in AZ

Practice address

2510 W Rio Salado Pkwy
Mesa, AZ 85201-3603

Phone

(314) 766-0338

NPI assigned

Aug 25, 2025

Last updated

Aug 25, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1982582177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 E FAIRBANKS ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W RIO SALADO PKWY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013603",
            "telephone_number": "314-766-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIPPERTON",
        "first_name": "JEREMY",
        "middle_name": "DAVID",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.005582",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "009376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinic of Physicians and Surgeons
• Clinica Medica del Sol, LLC
• Clinical DX of Mesa LLC
• Clinivoy LLC (Clinivoy Infusion Care)
• Clinton a Bennion DC, PLC (Fiesta Chiropractic Center)
• Diane Clodi, LPC
• Jessica Clonts
• Kyle Nelson Clonts, PHARMD
• Chad H Close, LISAC
• Clouse Chiropractic Clinic LLC

• Athletic Trainer in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.