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MR. ROGER A DOAK AT
NPI 1629617402
Specialist/Technologist - Athletic Trainer in Portland, MI

Active since December 27, 2019
1100 IONIA RD, PORTLAND, MI 48875(616) 780-1188 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Roger A Doak At NPPES

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

MR. ROGER A DOAK AT (NPI 1629617402) is an individual athletic trainer provider in Portland, Michigan, licensed in Michigan (2601000486) and active in the NPI registry since December 2019. He maintains a secondary practice location in Lansing.

NPPES Registry Identity

NPI1629617402
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. ROGER A DOAKCredential: AT
Location Address1100 IONIA RDPortland, MI 48875-1035
Mailing Address7222 Cedar Ridge DrPortland, MI 48875-8678 · (616) 780-1188
Phone(616) 780-1188
Sole ProprietorNo
Enumeration DateDecember 27, 2019
✔ NPI 1629617402 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 MI · 2601000486
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.
1100 IONIA RD, Portland, MI 48875
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Secondary Practice Location 1

Location 11215 E Michigan AveLansing, MI 48912-1811 · Phone (517) 364-1000

Other Providers at the Same Location NPPES 2

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

DELORES ANGELA CARBONE LLMSW
Social Worker (Clinical)
1100 IONIA RD
PORTLAND, MI 48875
Ionia County (517) 647-2981
RACHEL M BUTZIN
Social Worker (Clinical)
1100 IONIA RD
PORTLAND, MI 48875
Ionia County (517) 882-4000

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 Roger Doak's NPI number?

The NPI number for Roger Doak is 1629617402. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Roger Doak located?

Roger Doak practices at 1100 Ionia Rd, Portland, MI 48875. The listed phone number is (616) 780-1188.

What is Roger Doak'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 Roger Doak was last updated on December 27, 2019. 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.