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OWEN MICHAEL MAINORD MAT, LAT, ATC, NREMT
NPI 1376274886
Specialist/Technologist - Athletic Trainer in Fort Drum, NY

Active since June 23, 2022
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-2778 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Owen Michael Mainord Mat, Lat, Atc, Nremt NPPES

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

OWEN MICHAEL MAINORD MAT, LAT, ATC, NREMT (NPI 1376274886) is an individual athletic trainer provider in Fort Drum, New York and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1376274886
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameOWEN MICHAEL MAINORDCredential: MAT, LAT, ATC, NREMT
Location Address11050 MOUNT BELVEDERE BLVDFort Drum, NY 13602-5438
Mailing Address12909 S Carriage Hill WayNampa, ID 83686-6117
Phone(315) 772-2778
Sole ProprietorYes
Enumeration DateJune 23, 2022
Last NPPES UpdateJuly 15, 2022
NPPES CertifiedJuly 15, 2022
✔ NPI 1376274886 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.
11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602
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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.

DR. LAUREL JARVIS PH.D.
Psychologist (Clinical)
11050 MOUNT BELVEDERE BLVD, BEHAVIORAL HEALTH DEPARTMENT, MEDDAC
FORT DRUM, NY 13602
Jefferson County (315) 772-4850
DAVID LEWIS KEYES RPA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-5508
BRADY SIMPKINS PA-C
Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (802) 258-0301
MS. MARY ANGELA MACCULLOCH LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7624
DR. ISAAC P MILLS DO
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
SAVITRI MOTAPARTHI M.D.
Pediatrics
11050 MOUNT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602
Jefferson County (315) 772-4025
DR. LUTHER ROSWELL WIEST D.O.
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-3679
MADISON GERMAN LCSW
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 Owen Mainord's NPI number?

The NPI number for Owen Mainord is 1376274886. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Owen Mainord located?

Owen Mainord practices at 11050 Mount Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-2778.

What is Owen Mainord'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 Owen Mainord was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.