1. Home
  2. Directory
  3. Ohio
  4. Toledo
  5. Specialist Technologist
  6. NPI Profile

MARY E DERCK ATC
NPI 1104955889
Specialist/Technologist - Athletic Trainer in Toledo, OH

Active since March 05, 2007
2865 N REYNOLDS RD, STE. 110, TOLEDO, OH 43615(419) 578-7530 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary E Derck Atc NPPES

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

MARY E DERCK ATC (NPI 1104955889) is an individual athletic trainer provider in Toledo, Ohio, licensed in Ohio (AT.002401) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1104955889
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMARY E DERCKCredential: ATC
Location Address2865 N REYNOLDS RD, STE. 110Toledo, OH 43615-2068
Mailing Address6602 Dorr St Apt 202Toledo, OH 43615-4238 · (419) 578-7530 · Fax (419) 539-0288
Phone(419) 578-7530
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104955889 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 OH · AT.002401
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.
2865 N REYNOLDS RD, Toledo, OH 43615
Open in Google Maps ↗

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.

DR. JOHN VERNON HOUGHTALING MD
Orthopaedic Surgery (Hand Surgery)
2865 N REYNOLDS RD, BUILDING A
TOLEDO, OH 43615
Lucas County (419) 578-7200
PROMEDICA CENTRAL PHYSICIANS, LLC
Orthopaedic Surgery
2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615
Lucas County (419) 578-4260
ANTHONY FROGAMENI III M.D.
Orthopaedic Surgery (Sports Medicine)
2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615
Lucas County (419) 578-7200
CHARLES KING DABBS MD
Ophthalmology (Retina Specialist)
2865 N REYNOLDS RD, SUITE 230
TOLEDO, OH 43615
Lucas County (419) 578-4367
RECONSTRUCTIVE AND AESTHETIC SURGERY CENTER LTD
Clinic/Center (Ambulatory Surgical)
2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615
Lucas County (419) 534-6551
MRS. NICOLE MARIE TOMLINSON ATC
Specialist/Technologist (Athletic Trainer)
2865 N REYNOLDS RD, SUITE 110
TOLEDO, OH 43615
Lucas County (419) 578-7530
JOHN R SCHUNEMAN M.A.,CCC-A
Audiologist
2865 N REYNOLDS RD, 120
TOLEDO, OH 43615
Lucas County (419) 578-7557
TYLER J VOVOS
Orthopaedic Surgery
2865 N REYNOLDS RD
TOLEDO, OH 43615
Lucas County (419) 578-7200

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 Mary Derck's NPI number?

The NPI number for Mary Derck is 1104955889. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Mary Derck located?

Mary Derck practices at 2865 N Reynolds Rd Ste. 110, Toledo, OH 43615. The listed phone number is (419) 578-7530.

What is Mary Derck'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 Mary Derck was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.