Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

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: July 19, 2026.

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
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275598161, enumerated as an "individual" on April 20, 2006.

The provider is located at WESTERN ILLINOS UNIVERSITY ATHLETIC DEPT. ONE UNIV. CIRCLE MACOMB, IL 61455 and the phone number is (309) 208-1253.

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