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Active NPI 1477063725 Individual Practitioner Male Practitioner

Jesse Wade Mcintyre , DAT, LAT, ATC, CSCS

Specialist/Technologist - Athletic Trainer • San Angelo, TX

Professional Overview & Biography Verified Profile Summary

Jesse Mcintyre, DAT, LAT, ATC, CSCS is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in San Angelo, TX. Practice services are available at 210 LA SALLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

210 La Salle Dr

San Angelo, TX 769037916

Telephone 4056142024

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
40 Specialists

Practicing in San Angelo, TX (3033 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: 2026-03-23
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License TX AT7626

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 Tdlr
AT7626 (TX)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 28, 2022

Registered at 210 LA SALLE DR, SAN ANGELO, TX 769037916 (Tel: 4056142024)

📍
Updated Business Mailing Address November 28, 2022

Registered at 210 LA SALLE DR, SAN ANGELO, TX 769037916 (Tel: 4056142024)

👤
Provider Name / Credentials Updated November 28, 2022

Recorded as JESSE MCINTYRE, DAT, LAT, ATC, CSCS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2022

Specialist/Technologist (License #AT7626 in TX)

NPI Profile Active October 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2017

Registered at 504 COLLEGE DR, ALBANY, GA 317052717 (Tel: 2293176549)

📍
Updated Business Mailing Address October 01, 2017

Registered at 504 COLLEGE DR, ALBANY, GA 317052717 (Tel: 2293176549)

👤
Provider Name / Credentials Updated October 01, 2017

Recorded as JESSE MCINTYRE, LAT, ATC, CSCS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2017

Physical Medicine & Rehabilitation (License #AT003021 in GA)

🟢
Initial NPI Registration & Enumeration October 01, 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: 1477063725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2017
Last Update: March 23, 2026
Sole Proprietor: Yes

Mailing Address

210 La Salle Dr

San Angelo, TX 769037916

Phone: 4056142024

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.