1. Home
  2. Directory
  3. Illinois
  4. Carbondale
  5. Specialist Technologist
  6. NPI Profile

ALLEN WAYNE MARDIS ATC
NPI 1336339324
Specialist/Technologist - Athletic Trainer in Carbondale, IL

Active since July 26, 2007
1490 DOUGLAS DR, MC 6620, CARBONDALE, IL 62901(570) 492-1784(618) 453-4173 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Allen Wayne Mardis Atc NPPES

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

ALLEN WAYNE MARDIS ATC (NPI 1336339324) is an individual athletic trainer provider in Carbondale, Illinois and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1336339324
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameALLEN WAYNE MARDISCredential: ATC
Location Address1490 DOUGLAS DR, MC 6620Carbondale, IL 62901-4332
Mailing Address1490 Douglas Dr, Mc 6620Carbondale, IL 62901-4332 · (570) 492-1784 · Fax (618) 453-4173
Phone(570) 492-1784
Fax(618) 453-4173
Sole ProprietorNo
Enumeration DateJuly 26, 2007
Last NPPES UpdateNovember 7, 2013
✔ NPI 1336339324 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.
1490 DOUGLAS DR, Carbondale, IL 62901
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

ZACH LACROSS ATC
Specialist/Technologist (Athletic Trainer)
1490 DOUGLAS DR, LINGLE HALL 118, MC 6620
CARBONDALE, IL 62901
Jackson County (618) 453-4163
WHITNEY ELAINE HOWSER MS, ATC
Specialist/Technologist (Athletic Trainer)
1490 DOUGLAS DR, LINGLE HALL 118
CARBONDALE, IL 62901
Jackson County (618) 463-4162
TABITHA TOLAND
Specialist/Technologist (Athletic Trainer)
1490 DOUGLAS DR
CARBONDALE, IL 62901
Jackson County (618) 453-5482

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 Allen Mardis's NPI number?

The NPI number for Allen Mardis is 1336339324. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Allen Mardis located?

Allen Mardis practices at 1490 Douglas Dr Mc 6620, Carbondale, IL 62901. The listed phone number is (570) 492-1784.

What is Allen Mardis'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 Allen Mardis was last updated on November 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.