LAURA ELIZABETH PITTENGER
NPI 1104393164
Specialist/Technologist - Athletic Trainer in Pontiac, IL

Active since October 29, 2018
2500 W REYNOLDS ST STE 103, PONTIAC, IL 61764(815) 844-4062(815) 844-4962 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Laura Elizabeth Pittenger NPPES

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

LAURA ELIZABETH PITTENGER (NPI 1104393164) is an individual athletic trainer provider in Pontiac, Illinois, licensed in Illinois (096001831) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1104393164
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameLAURA ELIZABETH PITTENGER
Location Address2500 W REYNOLDS ST STE 103Pontiac, IL 61764-9774
Mailing Address205 Scott DrDwight, IL 60420-1628 · (815) 579-1039
Fax(815) 844-4962
Sole ProprietorYes
Enumeration DateOctober 29, 2018
NPI 1104393164 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 IL · 096001831
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.

2500 W REYNOLDS ST STE 103, Pontiac, IL 61764

Other Providers at the Same Location NPPES

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

Specialist/Technologist (Athletic Trainer)
2500 W REYNOLDS ST STE 103
PONTIAC, IL 61764

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104393164, enumerated as an "individual" on October 29, 2018.

The provider is located at 2500 W REYNOLDS ST STE 103 PONTIAC, IL 61764 and the phone number is (815) 844-4062.

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