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KAITLIN CARLSON
NPI 1104274851
Specialist/Technologist - Athletic Trainer in Peoria, IL

Active since June 02, 2016
6000 N ALLEN RD, PEORIA, IL 61614(309) 691-1400(309) 693-3197 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2019, Jun 7, 2019 (2 updates tracked since 2019).

About Kaitlin Carlson NPPES

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

KAITLIN CARLSON (NPI 1104274851) is an individual athletic trainer provider in Peoria, Illinois and active in the NPI registry since June 2016. She maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1104274851
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKAITLIN CARLSON
Location Address6000 N ALLEN RDPeoria, IL 61614-3294
Mailing Address6000 N Allen RdPeoria, IL 61614-3294 · (309) 691-1400 · Fax (309) 689-7094
Phone(309) 691-1400
Fax(309) 693-3197
Sole ProprietorNo
Enumeration DateJune 2, 2016
Last NPPES UpdateDecember 31, 20192 updates tracked since enumeration
✔ NPI 1104274851 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.
6000 N ALLEN RD, Peoria, IL 61614
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Secondary Practice Location 1

Location 11501 W Bradley AvePeoria, IL 61625-0001 · Phone (309) 677-2688

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.

NICHOLAS PEYTON ATC
Specialist/Technologist (Athletic Trainer)
6000 N ALLEN RD
PEORIA, IL 61614
Peoria County (309) 689-7044
DR. FAHED NAZEM ELCHAMI DPM
Podiatrist (Foot & Ankle Surgery)
6000 N ALLEN RD
PEORIA, IL 61614
Peoria County (309) 691-1400
JACOB DAY
Physician Assistant (Surgical)
6000 N ALLEN RD
PEORIA, IL 61614
Peoria County (309) 691-1400
LUCAS B ROTH PA-C
Physician Assistant (Surgical)
6000 N ALLEN RD
PEORIA, IL 61614
Peoria County (309) 691-1400
TARA MARIE BERRY
Physical Therapy Assistant
6000 N ALLEN RD
PEORIA, IL 61614
Peoria County (309) 691-1400
MYRON B STACHNIW MD
Orthopaedic Surgery
6000 N ALLEN RD
PEORIA, IL 61614
Peoria County (309) 691-1400
DR. MICHAEL S MERKLEY M.D.
Orthopaedic Surgery
6000 N ALLEN RD
PEORIA, IL 61614
Peoria County (309) 691-1400
NICOLE M CALBOW DPT
Physical Therapist
6000 N ALLEN RD
PEORIA, IL 61614
Peoria County (309) 691-1400

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 Kaitlin Carlson's NPI number?

The NPI number for Kaitlin Carlson is 1104274851. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Kaitlin Carlson located?

Kaitlin Carlson practices at 6000 N Allen Rd, Peoria, IL 61614. The listed phone number is (309) 691-1400.

What is Kaitlin Carlson'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 Kaitlin Carlson was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.