BRAEDEN JAMES RIDEOUTT ATC
NPI 1083403802
Specialist/Technologist - Athletic Trainer in Allen Park, MI

Active since May 06, 2025
222 REPUBLIC DR, ALLEN PARK, MI 48101(970) 999-2775 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Braeden James Rideoutt Atc NPPES

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

BRAEDEN JAMES RIDEOUTT ATC (NPI 1083403802) is an individual athletic trainer provider in Allen Park, Michigan and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1083403802
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBRAEDEN JAMES RIDEOUTTCredential: ATC
Location Address222 REPUBLIC DRAllen Park, MI 48101-3650
Mailing Address222 Republic DrAllen Park, MI 48101-3650 · (970) 999-2775 · Fax (970) 999-2775
Sole ProprietorNo
Enumeration DateMay 6, 2025
Last NPPES UpdateJune 21, 2026
NPPES CertifiedJune 21, 2026
NPI 1083403802 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
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.
222 REPUBLIC DR, Allen Park, MI 48101

Other Providers at the Same Location NPPES 6

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

Specialist/Technologist (Athletic Trainer)
222 REPUBLIC DR
ALLEN PARK, MI 48101
Specialist/Technologist (Athletic Trainer)
222 REPUBLIC DR
ALLEN PARK, MI 48101
Health Educator
222 REPUBLIC DR
ALLEN PARK, MI 48101
Dietitian, Registered
222 REPUBLIC DR
ALLEN PARK, MI 48101
Specialist/Technologist (Athletic Trainer)
222 REPUBLIC DR
ALLEN PARK, MI 48101
Specialist/Technologist (Athletic Trainer)
222 REPUBLIC DR
ALLEN PARK, MI 48101

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 Braeden Rideoutt's NPI number?

The NPI number for Braeden Rideoutt is 1083403802. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Braeden Rideoutt located?

Braeden Rideoutt practices at 222 Republic Dr, Allen Park, MI 48101. The listed phone number is (970) 999-2775.

What is Braeden Rideoutt'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 Braeden Rideoutt was last updated on June 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.