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

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: July 19, 2026.

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
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

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine (Adolescent Medicine)
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Advanced Practice Midwife
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Registered Nurse
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE
CAMP LEJEUNE, NC 28547
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Optometrist
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Dietitian, Registered
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE
CAMP LEJEUNE, NC 28547
Psychologist
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Dietitian, Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Physical Therapist
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE
CAMP LEJEUNE, NC 28547
Internal Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Occupational Therapist
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Family Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Family Medicine
100 BREWSTER BLVD, DEPT OF FAMILY MEDICINE
CAMP LEJEUNE, NC 28547
Ophthalmology
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Family Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Nurse Practitioner (Pediatrics)
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Dentist (Oral and Maxillofacial Surgery)
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE
CAMP LEJEUNE, NC 28547
Surgery
100 BREWSTER BLVD, GENERAL SURGERY CLINIC-NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Pathology (Anatomic Pathology & Clinical Pathology)
100 BREWSTER BLVD, LABORATORY
CAMP LEJEUNE, NC 28547

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174964761, enumerated as an "individual" on July 11, 2013.

The provider is located at 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547 and the phone number is (910) 449-0324.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.