SOUTH DAKOTA STATE UNIVERSITY
NPI 1053864504
Specialist/Technologist - Athletic Trainer in Brookings, SD

Active since August 02, 2016
2820 HPER CTR, BROOKINGS, SD 57007(605) 688-4003 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist/Technologist
  • Athletic Trainer

About SOUTH DAKOTA STATE UNIVERSITY

This page provides the complete NPI Profile along with additional information for South Dakota State University, a provider established in Brookings, South Dakota operating as a Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1053864504 assigned on August 2016. The practitioner's primary taxonomy code is 2255A2300X with license number 0521 (SD). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Owen Stanley (Assistant Athletic Director)

NPI
1053864504 Verify this NPI
Provider Name
SOUTH DAKOTA STATE UNIVERSITY
Entity Type
Organization
Location Address
2820 HPER CTR BROOKINGS, SD 57007
Location Phone
(605) 688-4003
Mailing Address
2820 HPER CTR BROOKINGS, SD 57007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2016
Last Update Date
08-02-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
0521
License State
SD
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

OWEN STANLEY

Authorized Official Title
ASSISTANT ATHLETIC DIRECTOR
Authorized Official Phone
(605) 688-5299

Reviews for SOUTH DAKOTA STATE UNIVERSITY

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
2820 HPER CTR
BROOKINGS, SD 57007
Specialist/Technologist (Athletic Trainer)
2820 HPER CTR
BROOKINGS, SD 57007
Specialist/Technologist (Athletic Trainer)
2820 HPER CTR
BROOKINGS, SD 57007
Specialist/Technologist (Athletic Trainer)
2820 HPER CTR
BROOKINGS, SD 57007
Specialist/Technologist (Athletic Trainer)
2820 HPER CTR
BROOKINGS, SD 57007
Specialist/Technologist (Athletic Trainer)
2820 HPER CTR
BROOKINGS, SD 57007
Specialist/Technologist (Athletic Trainer)
2820 HPER CTR
BROOKINGS, SD 57007
Specialist/Technologist (Athletic Trainer)
2820 HPER CTR
BROOKINGS, SD 57007

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053864504, enumerated as an "organization" on August 02, 2016.

The provider is located at 2820 HPER CTR BROOKINGS, SD 57007 and the phone number is (605) 688-4003.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.