RICK DVORAK ATC, LAT
NPI 1164879300
Specialist/Technologist - Athletic Trainer in Kenosha, WI

Active since May 18, 2016
2717 18TH ST, SUITE 100, KENOSHA, WI 53140(262) 551-5650(866) 245-8064 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rick Dvorak Atc, Lat NPPES

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

RICK DVORAK ATC, LAT (NPI 1164879300) is an individual athletic trainer provider in Kenosha, Wisconsin, licensed in Wisconsin (1818) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1164879300
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameRICK DVORAKCredential: ATC, LAT
Location Address2717 18TH ST, SUITE 100Kenosha, WI 53140-4666
Mailing AddressPo Box 3497Sturtevant, WI 53177-0300 · (877) 552-2996 · Fax (866) 245-8064
Fax(866) 245-8064
Sole ProprietorNo
Enumeration DateMay 18, 2016
NPI 1164879300 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 WI · 1818
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.

2717 18TH ST, Kenosha, WI 53140

Other Providers at the Same Location NPPES 4

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

Specialist/Technologist (Athletic Trainer)
2717 18TH ST
KENOSHA, WI 53140
Physical Therapist
2717 18TH ST, SUITE 100
KENOSHA, WI 53140
Physical Therapist
2717 18TH ST, SUITE 100
KENOSHA, WI 53140
Specialist/Technologist (Athletic Trainer)
2717 18TH ST, SUITE 100
KENOSHA, WI 53140

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 Rick Dvorak's NPI number?

The NPI number for Rick Dvorak is 1164879300. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Rick Dvorak located?

Rick Dvorak practices at 2717 18th St Suite 100, Kenosha, WI 53140. The listed phone number is (262) 551-5650.

What is Rick Dvorak'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 Rick Dvorak was last updated on May 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.