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

HOLLY MAE HARTLEY MS, LAT, ATC
NPI 1366901399
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Q: What is Holly Hartley's NPI number?

The NPI number for Holly Hartley is 1366901399. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Holly Hartley'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 Holly Hartley was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 March 19, 2019

3946 ICE WAY, FORT WAYNE, IN 46805(785) 806-5556 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Holly Mae Hartley Ms, Lat, Atc NPPES

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

HOLLY MAE HARTLEY MS, LAT, ATC (NPI 1366901399) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36004121A) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1366901399

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameHOLLY MAE HARTLEYCredential: MS, LAT, ATC

Location Address3946 ICE WAYFort Wayne, IN 46805-1018

Mailing Address3946 Ice WayFort Wayne, IN 46805-1018

Phone(785) 806-5556

Sole ProprietorNo

Enumeration DateMarch 19, 2019

Last NPPES UpdateJuly 28, 2026

NPPES CertifiedJuly 28, 2026

✔ NPI 1366901399 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 · 36004121A

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)