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Active NPI 1487086484 Individual Practitioner Male Practitioner

Peter Mitchell Estrada , DAT, LAT, ATC, BCS-O

Specialist/Technologist - Athletic Trainer • Tinker Afb, OK

Professional Overview & Biography Verified Profile Summary

Peter Estrada, DAT, LAT, ATC, BCS-O is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Tinker Afb, OK. Practice services are available at 7050 AIR DEPOT BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7050 Air Depot Blvd

Tinker Afb, OK 731458716

Telephone 4057349595
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Tinker Afb, OK

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

Practicing in Tinker Afb, 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: 2025-03-26
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License TX AT5394

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

1 Associated Practitioners
Shaylee Fouts , MED, ATC, LAT, PES

Specialist/Technologist - Athletic Trainer

NPI 1194360008

Master of Education, Certified Athletic Trainer, Licensed Athletic Trainer, PES

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Business Mailing Address March 26, 2025

Registered at 7209 JACK DR, OKLAHOMA CITY, OK 731324809 (Tel: 4055460986)

👤
Provider Name / Credentials Updated March 26, 2025

Recorded as PETER ESTRADA, DAT, LAT, ATC, BCS-O

📍
Updated Practice Location June 22, 2023

Registered at 7050 AIR DEPOT BLVD, TINKER AFB, OK 731458716 (Tel: 4057349595)

👤
Provider Name / Credentials Updated January 23, 2021

Recorded as PETER ESTRADA, DAT, ATC, LAT, EP-C

📍
Updated Practice Location December 04, 2019

Registered at 3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 782344504 (Tel: 2109163880)

📍
Updated Business Mailing Address December 04, 2019

Registered at 15315 KELLYFIELD BAY, SAN ANTONIO, TX 782536588 (Tel: 3256686477)

👤
Provider Name / Credentials Updated December 04, 2019

Recorded as PETER ESTRADA, ATC, LAT,OPE-C, EP-C

NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 18, 2017

Registered at 4102 BENBROOK ST, ABILENE, TX 796053725 (Tel: 3256686477)

📍
Updated Practice Location April 18, 2017

Registered at 2200 HICKORY ST, ABILENE, TX 796012345 (Tel: 3257944120)

👤
Provider Name / Credentials Updated April 18, 2017

Recorded as PETER ESTRADA, ATC, LAT, EP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Specialist/Technologist (License #AT5394 in TX)

NPI Profile Active August 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2013

Registered at 2200 HICKORY ST, ABILENE, TX 796012345 (Tel: 3256701324)

📍
Updated Business Mailing Address August 01, 2013

Registered at 750 N JUDGE ELY BLVD APT 104, ABILENE, TX 796015518 (Tel: 3256686477)

👤
Provider Name / Credentials Updated August 01, 2013

Recorded as PETER ESTRADA, ATC, LAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2013

Specialist/Technologist (License #AT5394 in TX)

🟢
Initial NPI Registration & Enumeration August 01, 2013

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: 1487086484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2013
Last Update: March 26, 2025
Sole Proprietor: No

Mailing Address

7209 Jack Dr

Oklahoma City, OK 731324809

Phone: 4055460986

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.