MR. LESLIE JOHN MITKOS III ATC
NPI 1174964761
Specialist/Technologist - Athletic Trainer in Camp Lejeune, NC

Q: What is Leslie Mitkos's NPI number?

The NPI number for Leslie Mitkos is 1174964761. It was assigned to this individual provider in the NPPES registry on July 11, 2013.

Q: What is Leslie Mitkos'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 Leslie Mitkos was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 11, 2013

100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 449-0324 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Leslie John Mitkos Iii Atc NPPES

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

MR. LESLIE JOHN MITKOS III ATC (NPI 1174964761) is an individual athletic trainer provider in Camp Lejeune, North Carolina, licensed in Illinois (096.002508) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1174964761

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. LESLIE JOHN MITKOS IIICredential: ATC

Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575

Mailing Address619 Castine WayWilmington, NC 28412-2763 · (217) 494-7415

Phone(910) 449-0324

Sole ProprietorNo

Enumeration DateJuly 11, 2013

Last NPPES UpdateMarch 21, 2017

✔ NPI 1174964761 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 · 096.002508

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.

100 BREWSTER BLVD, Camp Lejeune, NC 28547

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.

MR. JUSTIN THOMAS DAUGHTRY D.O.

Emergency Medicine