Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB HUTCHERSON
NPI 1235945205
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Q: What is Jacob Hutcherson's NPI number?

The NPI number for Jacob Hutcherson is 1235945205. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Q: What is Jacob Hutcherson'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 Jacob Hutcherson was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 December 05, 2024

3946 ICE WAY, FORT WAYNE, IN 46805(260) 444-2788 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, May 28, 2026, Dec 5, 2024 (3 updates tracked since 2024).

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About Jacob Hutcherson NPPES

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

JACOB HUTCHERSON (NPI 1235945205) is an individual athletic trainer provider in Fort Wayne, Indiana and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1235945205

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJACOB HUTCHERSON

Location Address3946 ICE WAYFort Wayne, IN 46805-1018

Mailing Address3946 Ice WayFort Wayne, IN 46805-1018

Phone(260) 444-2788

Sole ProprietorNo

Enumeration DateDecember 5, 2024

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1235945205 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

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.

3946 ICE WAY, Fort Wayne, IN 46805

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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.

ZACHARY DAVID BROWN ATC

Specialist/Technologist (Athletic Trainer)