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Active NPI 1922057264 Individual Practitioner Male Practitioner

Roger Olen Kollock , ATC

Specialist/Technologist - Athletic Trainer • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Roger Kollock, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Broken Arrow, OK. Practice services are available at 2405 S 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2405 S 14th St

Broken Arrow, OK 740127263

Telephone 4239431528

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Broken Arrow, OK

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

Practicing in Broken Arrow, OK (445 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: 2019-12-27
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License OK AT1084

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.

Secondary Practice Locations

1440 Suncrest Dr

Gray, TN 376154118

Phone: 4234771600

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 27, 2019

Registered at 2405 S 14TH ST, BROKEN ARROW, OK 740127263 (Tel: 4239431528)

📍
Updated Business Mailing Address December 27, 2019

Registered at 2405 S 14TH ST, BROKEN ARROW, OK 740127263 (Tel: 4239431528)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2019

Specialist/Technologist (License #AT1084 in OK)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1440 SUNCREST DR, GRAY, TN 376154118 (Tel: 4234771600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 275 CLEARVIEW ST, GRAY, TN 376153633 (Tel: 4239431528)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER KOLLOCK, ATC

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

Specialist (License #AT 0000000705 in TN)

🟢
Initial NPI Registration & Enumeration May 05, 2006

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: 1922057264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: December 27, 2019
Sole Proprietor: Yes

Mailing Address

2405 S 14th St

Broken Arrow, OK 740127263

Phone: 4239431528

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.