Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508559311 Individual Practitioner Female Practitioner

Erika Kietzman , LAT, ATC

Specialist/Technologist - Athletic Trainer • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Erika Kietzman, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Bloomington, IL. Practice services are available at 2406 E EMPIRE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2406 E Empire St

Bloomington, IL 617043630

Telephone 3096639300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Bloomington, IL (1955 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: 2023-05-29
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IL 096.005666

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

7 Associated Practitioners
Dr. Robert Seidl , MD

Orthopaedic Surgery

NPI 1215046313

Doctor of Medicine (M.D.)

David Mcclure , MS, PT

Physical Therapist

NPI 1366552630

Master of Science, Physical Therapist

NPI 1376439174

Physical Therapist, Doctor of Physical Therapy

Mckinsey Walters

Specialist/Technologist - Athletic Trainer

NPI 1457182719
Joseph Meyer

Physician Assistant

NPI 1467014290
NPI 1811364052

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2023

Registered at 2406 E EMPIRE ST, BLOOMINGTON, IL 617043630 (Tel: 3096639300)

📍
Updated Business Mailing Address May 29, 2023

Registered at 102 N ORR DR APT 2, NORMAL, IL 617611945 (Tel: 2178994139)

👤
Provider Name / Credentials Updated May 29, 2023

Recorded as ERIKA KIETZMAN, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2023

Specialist/Technologist (License #096.005666 in IL)

🟢
Initial NPI Registration & Enumeration May 29, 2023

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: 1508559311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2023
Last Update: May 29, 2023
Sole Proprietor: No

Mailing Address

102 N Orr Dr Apt 2

Normal, IL 617611945

Phone: 2178994139

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.