Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184107617 Individual Practitioner Male Practitioner

Koki Ozawa

Specialist/Technologist - Athletic Trainer • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Koki Ozawa is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Boulder, CO. Practice services are available at 2150 STADIUM DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2150 Stadium Drive

Boulder, CO 803090001

Telephone 9032459125
Associated Practice Facility / Clinic
🏢 Boulder Community Health Facility NPI 1174179915

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Boulder, CO

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

Practicing in Boulder, CO (702 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: 2024-06-27
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

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.

Secondary Practice Locations

210 N Winston Ave Apt 112

Lubbock, TX 794161529

Phone: 9032459125

170 Athletics Center

Stillwater, OK 74075

Phone: 9032459125

Oklahoma State University Athletics Center

Stillwater, OK 740780001

Phone: 9032459125

Practice Associates & Co-Workers

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

20 Associated Practitioners
Matthew Wagner , PT

Physical Therapist

NPI 1043413859

Physical Therapist

Dr. Inigo San-Millan , PhD

Physiological Laboratory

NPI 1114435252

Doctor of Philosophy (Ph.D.)

Dr. Joshua Linsell , DPT

Physical Therapist

NPI 1154034833

Doctor of Physical Therapy

Dr. Keith Demmon , DPT

Physical Therapist

NPI 1215967302

Doctor of Physical Therapy

Kimberly Detwiler , MS, LAT, ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1265496194

Master of Science, Licensed Athletic Trainer, Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Dr. Allison Asman , DPT

Physical Therapist

NPI 1417441809

Doctor of Physical Therapy

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 27, 2024

Registered at 2150 STADIUM DRIVE, BOULDER, CO 803090001 (Tel: 9032459125)

📍
Updated Business Mailing Address June 27, 2024

Registered at 2150 STADIUM DRIVE, BOULDER, CO 803090001 (Tel: 9032459125)

📍
Updated Practice Location July 18, 2019

Registered at OKLAHOMA STATE UNIVERSITY ATHLETICS CENTER, STILLWATER, OK 740780001 (Tel: 9032459125)

📍
Updated Business Mailing Address July 18, 2019

Registered at OKLAHOMA STATE UNIVERSITY ATHLETICS CENTER, STILLWATER, OK 740780001 (Tel: 9032459125)

NPI Profile Active September 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2018

Registered at 210 N WINSTON AVE APT 112, LUBBOCK, TX 794161529 (Tel: 9032459125)

📍
Updated Business Mailing Address September 11, 2018

Registered at 210 N WINSTON AVE APT 112, LUBBOCK, TX 794161529 (Tel: 9032459125)

👤
Provider Name / Credentials Updated September 11, 2018

Recorded as KOKI OZAWA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration September 11, 2018

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: 1184107617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2018
Last Update: June 27, 2024
Sole Proprietor: No

Mailing Address

2150 Stadium Drive

Boulder, CO 803090001

Phone: 9032459125

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.