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JACK DAVID PETERS
NPI 1609655240
Specialist/Technologist - Athletic Trainer in West Lafayette, IN

Active since September 25, 2023
800 W STADIUM AVE, WEST LAFAYETTE, IN 47907(765) 496-0502(765) 496-1239 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack David Peters NPPES

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

JACK DAVID PETERS (NPI 1609655240) is an individual athletic trainer provider in West Lafayette, Indiana and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1609655240
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACK DAVID PETERS
Location Address800 W STADIUM AVEWest Lafayette, IN 47907-2046
Mailing Address800 W Stadium AveWest Lafayette, IN 47907-2046 · (765) 496-0502
Phone(765) 496-0502
Fax(765) 496-1239
Sole ProprietorNo
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 23, 2023
✔ NPI 1609655240 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.
800 W STADIUM AVE, West Lafayette, IN 47907
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Other Providers at the Same Location NPPES 7

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

JADE HANNAH FOSTER
Specialist/Technologist (Athletic Trainer)
800 W STADIUM AVE
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 496-0502
JENNIFER K POPP EDD, ATC, LAT
Specialist/Technologist (Athletic Trainer)
800 W STADIUM AVE
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-3167
CAYLIE JONES
Specialist/Technologist (Athletic Trainer)
800 W STADIUM AVE
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 490-0502
CARLEE D BRANCH ATS
Student in an Organized Health Care Education/Training Program
800 W STADIUM AVE
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 496-0502
DR. LARRY JOE LEVERENZ PHD
Specialist/Technologist (Athletic Trainer)
800 W STADIUM AVE, DEPT. OF HEALTH & KINESIOLOGY
WEST LAFAYETTE BRA, IN 47907
Tippecanoe County (765) 494-3167
ABIGAIL JANE GIESECKE ATS, NREMT
Specialist/Technologist (Athletic Trainer)
800 W STADIUM AVE
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 494-3170
SYDNEY MONET BERNADEL
Student in an Organized Health Care Education/Training Program
800 W STADIUM AVE
WEST LAFAYETTE, IN 47907
Tippecanoe County (765) 496-0502

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 Jack Peters's NPI number?

The NPI number for Jack Peters is 1609655240. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Jack Peters located?

Jack Peters practices at 800 W Stadium Ave, West Lafayette, IN 47907. The listed phone number is (765) 496-0502.

What is Jack Peters'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 Jack Peters was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.