MR. JOSEPH MICHAEL PAVICH ATC, LAT
NPI 1649547480
Specialist/Technologist - Athletic Trainer in Bloomington, IN

Q: What is Joseph Pavich's NPI number?

The NPI number for Joseph Pavich is 1649547480. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Q: What is Joseph Pavich'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 Joseph Pavich was last updated on March 17, 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 November 22, 2011

2499 W COTA DR, BLOOMINGTON, IN 47403(812) 353-9319 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 14, 2017 (2 updates tracked since 2017).

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About Mr. Joseph Michael Pavich Atc, Lat NPPES

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

MR. JOSEPH MICHAEL PAVICH ATC, LAT (NPI 1649547480) is an individual athletic trainer provider in Bloomington, Indiana, licensed in Indiana (36001860A) and active in the NPI registry since November 2011. He maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1649547480

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. JOSEPH MICHAEL PAVICHCredential: ATC, LAT

Location Address2499 W COTA DRBloomington, IN 47403-4217

Mailing Address1301 W Countryside LnBloomington, IN 47403-3260 · (219) 608-4171

Phone(812) 353-9319

Sole ProprietorNo

Enumeration DateNovember 22, 2011

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1649547480 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

Licenses✔ Licensed in IN · 36001860A✔ Licensed in GA · AT002238

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.

2499 W COTA DR, Bloomington, IN 47403

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Secondary Practice Location 1

Location 11816 Eagle Dr, Building 100 Suite CWoodstock, GA 30189-8272 · Phone (770) 516-9191

Other Providers at the Same Location NPPES 5

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

LESLIE ANN VELA NP

Nurse Practitioner (Family)