MARY IRVIN ATC
NPI 1154818011
Specialist/Technologist - Athletic Trainer in Mishawaka, IN

Q: What is Mary Irvin's NPI number?

The NPI number for Mary Irvin is 1154818011. It was assigned to this individual provider in the NPPES registry on April 17, 2018. The provider is also known as Mary Patricia Irvin Atc.

Q: What is Mary Irvin's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Mary Irvin was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 17, 2018

5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545(574) 258-9539 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mary Irvin Atc NPPES

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

MARY IRVIN ATC (NPI 1154818011) is an individual athletic trainer provider in Mishawaka, Indiana, licensed in Indiana (36001360A) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1154818011

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMARY IRVINCredential: ATC

Location Address5215 HOLY CROSS PKWYMishawaka, IN 46545-1469

Mailing Address14959 Sagecrest CtGranger, IN 46530-6888 · (574) 247-1154

Phone(574) 258-9539

Sole ProprietorNo

Enumeration DateApril 17, 2018

✔ NPI 1154818011 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 · 36001360A

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.

5215 HOLY CROSS PKWY, Mishawaka, IN 46545

Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Patricia Irvin Atc

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.

MINI SRA

Internal Medicine