MR. BENJAMIN CHAZ CHARLES MAT, LAT, ATC
NPI 1548762495
Specialist/Technologist - Athletic Trainer in Fort Wayne, IN

Q: What is Benjamin Charles's NPI number?

The NPI number for Benjamin Charles is 1548762495. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Q: What is Benjamin Charles'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 Benjamin Charles was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 07, 2018

3946 ICE WAY, FORT WAYNE, IN 46808(920) 619-0184 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Benjamin Chaz Charles Mat, Lat, Atc NPPES

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

MR. BENJAMIN CHAZ CHARLES MAT, LAT, ATC (NPI 1548762495) is an individual athletic trainer provider in Fort Wayne, Indiana, licensed in Indiana (36002726A) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1548762495

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. BENJAMIN CHAZ CHARLESCredential: MAT, LAT, ATC

Location Address3946 ICE WAYFort Wayne, IN 46808

Mailing Address3946 Ice WayFort Wayne, IN 46808 · (920) 619-0184

Phone(920) 619-0184

Sole ProprietorNo

Enumeration DateMarch 7, 2018

✔ NPI 1548762495 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 · 36002726A

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 46808

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Other Providers at the Same Location NPPES 15

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

ASHLEY EMERSON LAT, ATC

Specialist/Technologist (Athletic Trainer)