Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. RYAN L FAGAN ATC LAT
NPI 1114991700
Specialist/Technologist - Athletic Trainer in Converse, IN

Active since February 13, 2006
7756 W. DELPHI PK., - 27, CONVERSE, IN 46919(765) 384-4381(765) 384-5414 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ryan L Fagan Atc Lat NPPES

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

MR. RYAN L FAGAN ATC LAT (NPI 1114991700) is an individual athletic trainer provider in Converse, Indiana, licensed in Indiana (36000566A) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1114991700
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. RYAN L FAGANCredential: ATC LAT
Location Address7756 W. DELPHI PK., - 27Converse, IN 46919
Mailing Address312 E Harrison StSwayzee, IN 46986-9570 · (765) 922-7203
Fax(765) 384-5414
Sole ProprietorNo
Enumeration DateFebruary 13, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1114991700 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 IN · 36000566A
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.

7756 W. DELPHI PK., Converse, IN 46919

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 Ryan Fagan's NPI number?

The NPI number for Ryan Fagan is 1114991700. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Ryan Fagan located?

Ryan Fagan practices at 7756 W. Delphi Pk. - 27, Converse, IN 46919. The listed phone number is (765) 384-4381.

What is Ryan Fagan'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 Ryan Fagan was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.