Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205346491 Individual Practitioner Male Practitioner

Leo J Corral , LAT, ATC

Specialist/Technologist - Athletic Trainer • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Leo Corral, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Fort Wayne, IN. Practice services are available at 2101 E COLISEUM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2101 E Coliseum Blvd

Fort Wayne, IN 468051445

Telephone 2604816656
Associated Practice Facility / Clinic
🏢 Indiana Physical Therapy Inc Facility NPI 1841534914

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: 2023-02-28
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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Emily Giorgi , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1265093280

Licensed Athletic Trainer, Certified Athletic Trainer

Mikayla Hogan

Specialist/Technologist - Athletic Trainer

NPI 1790357440
Chase Taylor

Specialist/Technologist - Athletic Trainer

NPI 1821571704

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 28, 2023

Registered at 2101 E COLISEUM BLVD, FORT WAYNE, IN 468051445 (Tel: 2604816656)

👤
Provider Name / Credentials Updated February 28, 2023

Recorded as LEO CORRAL, LAT, ATC

NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2017

Registered at 4434 CAMERON AVE, HAMMOND, IN 463271359 (Tel: 7082992795)

📍
Updated Business Mailing Address October 03, 2017

Registered at 4434 CAMERON AVE, HAMMOND, IN 463271359 (Tel: 7082992795)

👤
Provider Name / Credentials Updated October 03, 2017

Recorded as LEO CORRAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration October 03, 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: 1205346491
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2017
Last Update: February 28, 2023
Sole Proprietor: No

Mailing Address

4434 Cameron Ave

Hammond, IN 463271359

Phone: 7082992795

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.