Joel Thomas Deckard
Specialist/Technologist, Athletic Trainer in Fairfax, VA. Individual provider (NPI-1).
NPI number1902680366
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1902680366
- Entity type
- Individual (NPI-1)
- Name
- Joel Thomas Deckard
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2023
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000018946 | IL | Yes |
Practice location
8270 Willow Oaks Corporate Dr Ste 700Fairfax, VA 22031-4529
Phone 703-277-2663
Mailing address
610 Somerset Park Dr Se Apt 201Leesburg, VA 20175-5696
Phone 765-993-8392
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Fairfax, VA
- Lila Muhannad Mohammad Abu-SalehNPI 1518816883
- Ali AhmadNPI 1063059152
- Taylor Nicole AndersenNPI 1487469300
- Sophia Bavisotto, MS, ATCNPI 1962348102
- Nicole Marie BerubeNPI 1063075588
- Taylor E BreedenNPI 1427908946
- Shannon Marie Brown, ATC, LAT, MS, CPTNPI 1043963309
- Sean Michael Burfeind, MS, ATC, OTC, OPA-CNPI 1316289879
- Gustavo Alejandro Canals, MA, ATCNPI 1578202073
- Samantha Rose Carr, LAT, ATCNPI 1538782164
All 64 Athletic Trainer providers in Fairfax · All 8,425 providers in Fairfax
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.