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Active NPI 1114991700 Individual Practitioner Male Practitioner

Ryan L Fagan , ATC LAT

Specialist/Technologist - Athletic Trainer • Converse, IN

Professional Overview & Biography Verified Profile Summary

Ryan Fagan, ATC LAT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Converse, IN. Practice services are available at 7756 W. DELPHI PK. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7756 W. Delphi Pk.
- 27

Converse, IN 46919

Telephone 7653844381
Fax 7653845414

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Converse, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Converse, IN (1604 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

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IN 36000566A

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7756 W. DELPHI PK., - 27, CONVERSE, IN 46919 (Tel: 7653844381)

📍
Updated Business Mailing Address July 08, 2007

Registered at 312 E HARRISON ST, SWAYZEE, IN 469869570 (Tel: 7659227203)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RYAN FAGAN, ATC LAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #36000566A in IN)

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Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114991700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

312 E Harrison St

Swayzee, IN 469869570

Phone: 7659227203

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.