Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Bixler

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114568052

Jack Bixler is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 263 Alden St, Springfield, MA 01109-3707 — (484) 667-9540

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT007755 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114568052
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 2, 2019
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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