Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962989640 Individual Practitioner Female Practitioner

Jillian Ann Hacker , ATC

Specialist/Technologist - Athletic Trainer • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Jillian Hacker, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Fort Wayne, IN. Practice services are available at 3946 ICE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3946 Ice Way

Fort Wayne, IN 468051018

Telephone 2604442788

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: 2020-08-22
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IN 36003377A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Boc
2000038863 (IN)
Commercial Insurance / Payer ID Indiana Professional Licensing Agency
36003377A (IN)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Jacob Hutcherson

Specialist/Technologist - Athletic Trainer

NPI 1235945205
Michael Kurtz , ATC

Specialist/Technologist - Athletic Trainer

NPI 1649016288

Certified Athletic Trainer

Emily Mize

Specialist/Technologist - Athletic Trainer

NPI 1710658869

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 03, 2020

Registered at 3946 ICE WAY, FORT WAYNE, IN 468051018 (Tel: 2604442788)

📍
Updated Business Mailing Address September 03, 2020

Registered at 8813 GULF DR APT B, FORT WAYNE, IN 468253092 (Tel: 7655247455)

👤
Provider Name / Credentials Updated September 03, 2020

Recorded as JILLIAN HACKER, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2020

Specialist/Technologist (License #36003377A in IN)

NPI Profile Active July 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2018

Registered at 435 N 5TH ST, PHOENIX, AZ 850042157 (Tel: 6028272450)

📍
Updated Business Mailing Address July 25, 2018

Registered at 200 E FILLMORE ST APT 247, PHOENIX, AZ 850042116 (Tel: 7655247455)

👤
Provider Name / Credentials Updated July 25, 2018

Recorded as JILLIAN HACKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 25, 2018

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: 1962989640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2018
Last Update: September 03, 2020
Sole Proprietor: No

Mailing Address

8813 Gulf Dr Apt B

Fort Wayne, IN 468253092

Phone: 7655247455

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.