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Active NPI 1588357982 Individual Practitioner Male Practitioner

Mitchell Kennedy , ATC

Specialist/Technologist - Athletic Trainer • Sycamore, IL

Professional Overview & Biography Verified Profile Summary

Mitchell Kennedy, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Sycamore, IL. Practice services are available at 2111 MIDLANDS CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2111 Midlands Ct

Sycamore, IL 601783125

Telephone 8157580000
Associated Practice Facility / Clinic
🏢 Foroutan & Associates Sc Facility NPI 1063445476

Specialty Benchmarks & Practice Insights

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

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

Practicing in Sycamore, 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: 2023-05-31
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IL 096004291

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

40 Associated Practitioners
Katherine Jones , OT

Occupational Therapist - Physical Rehabilitation

NPI 1003327172

Occupational Therapist

Jason Hiatt , MPT

Physical Therapist - Orthopedic

NPI 1053418087

Master of Physical Therapy

Dr. Russell Bodner , MD

Orthopaedic Surgery

NPI 1063527208

Doctor of Medicine (M.D.)

David Bartelt , ATC, OTC

Specialist/Technologist - Athletic Trainer

NPI 1104056316

Certified Athletic Trainer, OTC

NPI 1114032372

Doctor of Podiatric Medicine

Dr. Photine Liakos , MD

Orthopaedic Surgery

NPI 1134234305

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 31, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 31, 2023

Registered at 2111 MIDLANDS CT, SYCAMORE, IL 601783125 (Tel: 8157580000)

📍
Updated Business Mailing Address May 31, 2023

Registered at 1480 CAMBRIA DR UNIT 4, DEKALB, IL 601151083 (Tel: 8159012422)

👤
Provider Name / Credentials Updated May 31, 2023

Recorded as MITCHELL KENNEDY, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2023

Specialist/Technologist (License #096004291 in IL)

🟢
Initial NPI Registration & Enumeration May 31, 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: 1588357982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2023
Last Update: May 31, 2023
Sole Proprietor: No

Mailing Address

1480 Cambria Dr Unit 4

Dekalb, IL 601151083

Phone: 8159012422

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.