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

MS. KATHLEEN M MAYBERRY ATC
NPI 1487275285
Specialist/Technologist - Athletic Trainer in Edwardsville, IL

Active since May 03, 2020
515 ROANOKE DR, EDWARDSVILLE, IL 62025(618) 980-5605 Get Directions Write a Review

NPPES record last updated: May 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kathleen M Mayberry Atc NPPES

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

MS. KATHLEEN M MAYBERRY ATC (NPI 1487275285) is an individual athletic trainer provider in Edwardsville, Illinois, licensed in Illinois (096.004177) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1487275285
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. KATHLEEN M MAYBERRYCredential: ATC
Location Address515 ROANOKE DREdwardsville, IL 62025-2521
Mailing Address515 Roanoke DrEdwardsville, IL 62025-2521 · (618) 980-5605
Phone(618) 980-5605
Sole ProprietorNo
Enumeration DateMay 3, 2020
NPPES CertifiedMay 3, 2020
✔ NPI 1487275285 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 IL · 096.004177
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.
515 ROANOKE DR, Edwardsville, IL 62025
Open in Google Maps ↗

Other Names 1

Other Name (5)Katie M Mayberry

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 Kathleen Mayberry's NPI number?

The NPI number for Kathleen Mayberry is 1487275285. It was assigned to this individual provider in the NPPES registry on May 3, 2020. The provider is also known as Katie M Mayberry.

Where is Kathleen Mayberry located?

Kathleen Mayberry practices at 515 Roanoke Dr, Edwardsville, IL 62025. The listed phone number is (618) 980-5605.

What is Kathleen Mayberry'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 Kathleen Mayberry was last updated on May 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.