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BRENT ALEXANDER ROARK ATC
NPI 1083121917
Specialist/Technologist - Athletic Trainer in Athens, WV

Active since December 31, 2017
1000 VERMILLION ST, ATHENS, WV 24712(304) 384-6320(304) 384-5117 Get Directions Write a Review

NPPES record last updated: December 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent Alexander Roark Atc NPPES

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

BRENT ALEXANDER ROARK ATC (NPI 1083121917) is an individual athletic trainer provider in Athens, West Virginia, licensed in West Virginia (AT001370) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1083121917
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBRENT ALEXANDER ROARKCredential: ATC
Location Address1000 VERMILLION STAthens, WV 24712-9027
Mailing Address1000 Vermillion StAthens, WV 24712-9027 · (304) 384-6320 · Fax (304) 384-5117
Phone(304) 384-6320
Fax(304) 384-5117
Sole ProprietorYes
Enumeration DateDecember 31, 2017
✔ NPI 1083121917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in WV · AT001370
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.
1000 VERMILLION ST, Athens, WV 24712
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Other Providers at the Same Location NPPES 20

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

EDDIE JAMES BLAKE GRADUATE
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (800) 344-6679
STATE OF WEST VIRGINIA CONCORD UNIVERSITY
Clinic/Center (Student Health)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-7325
KATELYN GOLINSKY
Student in an Organized Health Care Education/Training Program
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 322-6264
HUNTER ALEXANDRIA BAILEY
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 710-9849
JENNIFER LAUREN SICINSKI
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 384-6239
JESSE LILLY
Student in an Organized Health Care Education/Training Program
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (304) 322-6264
IMANI T RODGERS
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST
ATHENS, WV 24712
Mercer County (757) 232-7232
BRITTANY NICOLE DOMINGO MA, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1000 VERMILLION ST, BOX C688
ATHENS, WV 24712
Mercer County (681) 422-9113

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 Brent Roark's NPI number?

The NPI number for Brent Roark is 1083121917. It was assigned to this individual provider in the NPPES registry on December 31, 2017.

Where is Brent Roark located?

Brent Roark practices at 1000 Vermillion St, Athens, WV 24712. The listed phone number is (304) 384-6320.

What is Brent Roark'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 Brent Roark was last updated on December 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.