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Active NPI 1336364124 Individual Practitioner Male Practitioner

Keith J Gardner , ATC

Specialist/Technologist - Athletic Trainer • Roswell, NM

Professional Overview & Biography Verified Profile Summary

Keith Gardner, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Roswell, NM. Practice services are available at 113 E COLLEGE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 E College Blvd

Roswell, NM 882015158

Telephone 5756226500
Fax 5756229777
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Roswell, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Roswell, NM (216 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 NM 72

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

14 Associated Practitioners
Scott Long , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1043646409

Certified Athletic Trainer, Licensed Athletic Trainer

NPI 1114112570

Doctor of Physical Therapy, Certified Athletic Trainer

Paul Choat , ATC

Specialist/Technologist - Athletic Trainer

NPI 1326263138

Certified Athletic Trainer

Rossana Ruffing , LMT

Massage Therapist

NPI 1366769614

Licensed Massage Therapist

Lewis Ruffing , SMPT

Physical Therapist

NPI 1407178064
Kevin Sanders , PT

Physical Therapist

NPI 1558460071

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2008

Registered at 113 E COLLEGE BLVD, ROSWELL, NM 882015158 (Tel: 5756226500)

📍
Updated Business Mailing Address October 15, 2008

Registered at 113 E COLLEGE BLVD, ROSWELL, NM 882015158 (Tel: 5756226500)

👤
Provider Name / Credentials Updated October 15, 2008

Recorded as KEITH GARDNER, A.T.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2008

Specialist/Technologist (License #72 in NM)

🟢
Initial NPI Registration & Enumeration April 16, 2007

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: 1336364124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2007
Last Update: October 15, 2008
Sole Proprietor: No

Mailing Address

113 E College Blvd

Roswell, NM 882015158

Phone: 5756226500

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.