1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Specialist Technologist
  6. NPI Profile

OWEN JOHNSON MAT, LAT, ATC
NPI 1194667360
Specialist/Technologist - Athletic Trainer in Indianapolis, IN

Active since April 07, 2026
1500 E MICHIGAN ST, INDIANAPOLIS, IN 46201(920) 257-8569 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Owen Johnson Mat, Lat, Atc NPPES

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

OWEN JOHNSON MAT, LAT, ATC (NPI 1194667360) is an individual athletic trainer provider in Indianapolis, Indiana, licensed in Indiana (36004022A) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1194667360
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameOWEN JOHNSONCredential: MAT, LAT, ATC
Location Address1500 E MICHIGAN STIndianapolis, IN 46201-3079
Mailing Address6651 Buckhorn Dr Apt 611Indianapolis, IN 46254-6214 · (920) 257-8569
Phone(920) 257-8569
Sole ProprietorYes
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1194667360 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 · 36004022A
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.
1500 E MICHIGAN ST, Indianapolis, IN 46201
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

MRS. LINDA DARLENE STROUD RN CPNP CDE
Nurse Practitioner (Pediatrics)
1500 E MICHIGAN ST
INDIANAPOLIS, IN 46201
Marion County (317) 693-5420
EMILY CHRISTINE CHAMBERLAIN
Speech-Language Pathologist
1500 E MICHIGAN ST
INDIANAPOLIS, IN 46201
Marion County (317) 340-0323

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 Owen Johnson's NPI number?

The NPI number for Owen Johnson is 1194667360. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Owen Johnson located?

Owen Johnson practices at 1500 E Michigan St, Indianapolis, IN 46201. The listed phone number is (920) 257-8569.

What is Owen Johnson'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 Owen Johnson was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.