JERRY DONNELL FORD ATC
NPI 1275877201
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Q: What is Jerry Ford's NPI number?

The NPI number for Jerry Ford is 1275877201. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Jerry Ford'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 Jerry Ford was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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 November 15, 2012

4251 LAHMEYER RD, FORT WAYNE, IN 46815(260) 432-4700(260) 459-9262 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry Donnell Ford Atc NPPES

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

JERRY DONNELL FORD ATC (NPI 1275877201) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36001580A) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1275877201

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameJERRY DONNELL FORDCredential: ATC

Location Address4251 LAHMEYER RDFort Wayne, IN 46815-5676

Mailing Address4251 Lahmeyer RdFort Wayne, IN 46815-5676 · (260) 432-4700 · Fax (260) 459-9262

Phone(260) 432-4700

Fax(260) 459-9262

Sole ProprietorNo

Enumeration DateNovember 15, 2012

✔ NPI 1275877201 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 · 36001580A

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.

4251 LAHMEYER RD, Fort Wayne, IN 46815

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Other Identifiers 1

Medicare OSCAR/certification156546

Other Providers at the Same Location NPPES 11

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

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