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Active NPI 1134647407 Individual Practitioner Male Practitioner

Mitchell Lee Anderson

Specialist/Technologist - Athletic Trainer • Fort Wayne, IN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Mitchell Anderson is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Fort Wayne, IN. Official NPI practice address is registered at 3946 ICE WAY.

Practice Location & Contact Primary Location

Practice Address

3946 Ice Way

Fort Wayne, IN 468051018

Telephone 3196939912

Specialty Benchmarks & Practice Insights

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

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

Practicing in Fort Wayne, 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

CMS Verified: 2024-12-04
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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Zachary Brown , ATC

Specialist/Technologist - Athletic Trainer

NPI 1013425529

Certified Athletic Trainer

NPI 1053386474

ATCL

Amy Hile , MA, LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1063612547

Master of Arts, Licensed Athletic Trainer, Certified Athletic Trainer

Dr. Jessica Huett , EdD, LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1063630960

Doctor of Education (Ed.D.), Licensed Athletic Trainer, Certified Athletic Trainer

Jessica Westmaas , MBA, LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1073151981

Master of Business Administration, Licensed Athletic Trainer, Certified Athletic Trainer

Hannah Detmer

Specialist/Technologist - Athletic Trainer

NPI 1073380341

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 05, 2024

Registered at 3946 ICE WAY, FORT WAYNE, IN 468051018 (Tel: 3196939912)

📍
Updated Business Mailing Address December 05, 2024

Registered at 3946 ICE WAY, FORT WAYNE, IN 468051018 (Tel: 3196939912)

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2017

Registered at 5200 PRAIRIE RIDGE AVE, MARION, IA 523029028 (Tel: (319) 693-9912)

📍
Updated Business Mailing Address September 06, 2017

Registered at 5200 PRAIRIE RIDGE AVE, MARION, IA 523029028 (Tel: 3196939912)

👤
Provider Name / Credentials Updated September 06, 2017

Recorded as MITCHELL ANDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration September 06, 2017

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: 1134647407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2017
Last Update: December 05, 2024
Sole Proprietor: Yes

Mailing Address

3946 Ice Way

Fort Wayne, IN 468051018

Phone: 3196939912

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.