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MR. DEREK ALAN EWALD ATC
NPI 1538177696
Specialist/Technologist - Athletic Trainer in Niles, MI

Active since August 04, 2006
1960 S 11TH ST, NILES, MI 49120(268) 683-6800(269) 683-6888 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Derek Alan Ewald Atc NPPES

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

MR. DEREK ALAN EWALD ATC (NPI 1538177696) is an individual athletic trainer provider in Niles, Michigan and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1538177696
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. DEREK ALAN EWALDCredential: ATC
Location Address1960 S 11TH STNiles, MI 49120-4059
Mailing Address53062 Cedar Lake CtGranger, IN 46530-5847 · (574) 676-6311
Phone(268) 683-6800
Fax(269) 683-6888
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1538177696 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.
1960 S 11TH ST, Niles, MI 49120
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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 Derek Ewald's NPI number?

The NPI number for Derek Ewald is 1538177696. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Derek Ewald located?

Derek Ewald practices at 1960 S 11th St, Niles, MI 49120. The listed phone number is (268) 683-6800.

What is Derek Ewald'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 Derek Ewald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.