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Deactivated NPI 1871138784 Deactivated / Inactive NPI Male Practitioner

Aaron Vandyne , LAT

Specialist/Technologist - Athletic Trainer • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Aaron Vandyne has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2019
NPI Deactivation Date September 24, 2020
Total Practice Duration ~1 Years of Practice (2019 – 2020)

Professional Overview & Biography Verified Profile Summary

Aaron Vandyne, LAT was a registered Specialist/Technologist - Athletic Trainer practicing in Phoenix, AZ. Throughout an active medical career spanning 1 years, Aaron Vandyne provided care at the practice location at 722 E SACK DR until profile deactivation on 2020-09-24.

Practice Location & Contact Primary Location

Practice Address

722 E Sack Dr

Phoenix, AZ 850248232

Telephone 9285335309

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
142 Specialists

Practicing in Phoenix, AZ (649 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-24
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License AZ ATR-009236

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Faith Vandyne

Massage Therapist

NPI 1679119457

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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Updated Practice Location December 29, 2025

Registered at 722 E SACK DR, PHOENIX, AZ 850248232 (Tel: 9285335309)

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Updated Business Mailing Address December 29, 2025

Registered at 722 E SACK DR, PHOENIX, AZ 850248232 (Tel: 9285335309)

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Provider Name / Credentials Updated December 29, 2025

Recorded as AARON VANDYNE, LAT

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2025

Specialist/Technologist (License #ATR-009236 in AZ)

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NPI Profile Deactivated September 24, 2020

Record deactivated on September 24, 2020

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Provider Name / Credentials Updated August 12, 2020

Recorded as AARON VANDYNE, LAT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2020

Specialist/Technologist (License #ATR-009236 in AZ)

NPI Profile Active November 14, 2019

NPI status registered as active in NPPES database

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Updated Practice Location November 14, 2019

Registered at 722 E SACK DR, PHOENIX, AZ 850248232 (Tel: 9285335309)

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Updated Business Mailing Address November 14, 2019

Registered at 722 E SACK DR, PHOENIX, AZ 850248232 (Tel: 9285335309)

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Provider Name / Credentials Updated November 14, 2019

Recorded as AARON VANDYNE

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2019

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration November 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871138784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2019
Last Update: December 29, 2025
Deactivation Date: September 24, 2020
Sole Proprietor: Yes

Mailing Address

722 E Sack Dr

Phoenix, AZ 850248232

Phone: 9285335309

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.