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

MICHAEL PATRICK PENDERGAST SR. ATC
NPI 1275598161
Specialist/Technologist - Athletic Trainer in Macomb, IL

Q: What is Michael Pendergast's NPI number?

The NPI number for Michael Pendergast is 1275598161. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Michael Pendergast's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since April 20, 2006

WESTERN ILLINOS UNIVERSITY ATHLETIC DEPT., ONE UNIV. CIRCLE, MACOMB, IL 61455(309) 208-1253 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael Patrick Pendergast Sr. Atc NPPES

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

MICHAEL PATRICK PENDERGAST SR. ATC (NPI 1275598161) is an individual athletic trainer provider in Macomb, Illinois and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1275598161

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMICHAEL PATRICK PENDERGAST SR.Credential: ATC

Location AddressWESTERN ILLINOS UNIVERSITY ATHLETIC DEPT., ONE UNIV. CIRCLEMacomb, IL 61455

Mailing Address340 W Pierce StMacomb, IL 61455-1443 · (309) 833-5316

Phone(309) 208-1253

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1275598161 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.

WESTERN ILLINOS UNIVERSITY ATHLETIC DEPT., Macomb, IL 61455

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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 Michael Pendergast's NPI number?

The NPI number for Michael Pendergast is 1275598161. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Michael Pendergast located?

Michael Pendergast practices at Western Illinos University Athletic Dept. One Univ. Circle, Macomb, IL 61455. The listed phone number is (309) 208-1253.

What is Michael Pendergast'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 Michael Pendergast was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.