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MITCHELL KENNEDY ATC
NPI 1588357982
Specialist/Technologist - Athletic Trainer in Sycamore, IL

Active since May 31, 2023
2111 MIDLANDS CT, SYCAMORE, IL 60178(815) 758-0000 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mitchell Kennedy Atc NPPES

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

MITCHELL KENNEDY ATC (NPI 1588357982) is an individual athletic trainer provider in Sycamore, Illinois, licensed in Illinois (096004291) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1588357982
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMITCHELL KENNEDYCredential: ATC
Location Address2111 MIDLANDS CTSycamore, IL 60178-3125
Mailing Address1480 Cambria Dr Unit 4Dekalb, IL 60115-1083 · (815) 901-2422
Phone(815) 758-0000
Sole ProprietorNo
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
✔ NPI 1588357982 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 · 096004291
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.
2111 MIDLANDS CT, Sycamore, IL 60178
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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.

MR. MICHAEL DEAN RESER P.T.
Physical Therapist
2111 MIDLANDS CT
SYCAMORE, IL 60178
Dekalb County (815) 748-8900
MS. SHARON LYNN ZAHLMAN MS,OTR/L
Occupational Therapist
2111 MIDLANDS CT
SYCAMORE, IL 60178
Dekalb County (815) 748-8900
FOROUTAN & ASSOCIATES SC
Psychiatry & Neurology (Psychiatry)
2111 MIDLANDS CT, SUITE 202
SYCAMORE, IL 60178
Dekalb County (630) 222-5574
RUSSELL JEFFREY BODNER M.D.
Orthopaedic Surgery
2111 MIDLANDS CT
SYCAMORE, IL 60178
Dekalb County (815) 758-0000
ELZBIETA STOLARSKI P.T.
Physical Therapist
2111 MIDLANDS CT
SYCAMORE, IL 60178
Dekalb County (815) 748-7800
DAVID BARTELT ATC, OTC
Specialist/Technologist (Athletic Trainer)
2111 MIDLANDS CT
SYCAMORE, IL 60178
Dekalb County (815) 758-0000
THOMAS S DWYER D.P.M.
Podiatrist
2111 MIDLANDS CT
SYCAMORE, IL 60178
Dekalb County (815) 758-0000
BRIDGET STARKS LMT
Massage Therapist
2111 MIDLANDS CT
SYCAMORE, IL 60178
Dekalb County (815) 748-8900

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 Mitchell Kennedy's NPI number?

The NPI number for Mitchell Kennedy is 1588357982. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Mitchell Kennedy located?

Mitchell Kennedy practices at 2111 Midlands Ct, Sycamore, IL 60178. The listed phone number is (815) 758-0000.

What is Mitchell Kennedy'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 Mitchell Kennedy was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.