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MR. JEREMY R. GALL ATC
NPI 1063409332
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Active since October 03, 2005
3701 CARROLL RD, FORT WAYNE, IN 46818(260) 637-3161 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Apr 29, 2026, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Jeremy R. Gall Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEREMY R. GALL ATC (NPI 1063409332) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36001023A) and active in the NPI registry since October 2005. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063409332
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. JEREMY R. GALLCredential: ATC
Location Address3701 CARROLL RDFort Wayne, IN 46818-9528
Mailing Address229 Barouche PlFort Wayne, IN 46845-2110 · (260) 740-1261
Phone(260) 637-3161
Sole ProprietorNo
Enumeration DateOctober 3, 2005
Last NPPES UpdateMay 13, 20264 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1063409332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in IN · 36001023A
Definition
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.
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License 36001023A (IN)
3701 CARROLL RD, Fort Wayne, IN 46818
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Secondary Practice Locations 2

Location 110106 DuPont Circle Dr EFort Wayne, IN 46825-1639 · Phone (260) 479-2744
Location 27601 W Jefferson BlvdFort Wayne, IN 46804-4133 · Phone (260) 435-2620

Other Identifiers 1

Other36001023AIN · Indiana Athletic Trainers License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAELA HOFFMAN LAT, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
3701 CARROLL RD
FORT WAYNE, IN 46818
Allen County (260) 637-3161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Gall's NPI number?

The NPI number for Jeremy Gall is 1063409332. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Jeremy Gall located?

Jeremy Gall practices at 3701 Carroll Rd, Fort Wayne, IN 46818. The listed phone number is (260) 637-3161.

What is Jeremy Gall's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jeremy Gall was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.