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SOUTHERN ILLINOIS SPORTS MEDICINE
NPI 1699061259
Specialist/Technologist - Athletic Trainer in Belleville, IL

Active since June 22, 2011
4550 MEMORIAL DR, MOC-1, SUITE G-100, BELLEVILLE, IL 62226(618) 236-2246(618) 236-2315 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Illinois Sports Medicine NPPES

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

SOUTHERN ILLINOIS SPORTS MEDICINE (NPI 1699061259) is a healthcare organization registered as an athletic trainer in Belleville, Illinois and active in the NPI registry since June 2011. The organization lists Jason Daniel Noeldner, Athletic Trainer, as its authorized official.

NPPES Registry Identity

NPI1699061259
Entity TypeOrganization
Primary Taxonomy2255A2300X
Legal Business NameOA ASSOCIATED LLC
Location Address4550 MEMORIAL DR, MOC-1, SUITE G-100Belleville, IL 62226-5372
Mailing Address4550 Memorial Dr, Moc-1, Suite G-100Belleville, IL 62226-5372 · (618) 236-2246 · Fax (618) 236-2315
Phone(618) 236-2246
Fax(618) 236-2315
Organization SubpartNo
Authorized OfficialJason Daniel NoeldnerAthletic Trainer · (618) 236-2246
Enumeration DateJune 22, 2011
✔ NPI 1699061259 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 · 096002594
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.
4550 MEMORIAL DR, Belleville, IL 62226
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Other Names 1

Doing Business AsSouthern Illinois Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MRS. DEANNA L. RODENBERG NP
Nurse Practitioner
4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-6200
SHEIKH M SADIQ MD
Psychiatry & Neurology (Neurology)
4550 MEMORIAL DR, SUITE 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-4243
DR. DWIGHT WILLIAM O'DELL M.D.
Obstetrics & Gynecology (Gynecology)
4550 MEMORIAL DR, STE 200
BELLEVILLE, IL 62226
St. Clair County (618) 233-5998
MEMORIAL MEDICAL GROUP, LLC
Internal Medicine
4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-6302
BELLEVILLE ORTHOPEDICS, P.C.
Specialist
4550 MEMORIAL DR, SUITE 460
BELLEVILLE, IL 62226
St. Clair County (618) 235-2900
MSA ALLIANCE, LLC
Urology
4550 MEMORIAL DR, STE 350
BELLEVILLE, IL 62226
St. Clair County (618) 239-9690
LAKSHMI R. BEERAVOLU MD
Psychiatry & Neurology (Clinical Neurophysiology)
4550 MEMORIAL DR, STE. A480
BELLEVILLE, IL 62226
St. Clair County (618) 234-4531
CA GROUP, LLC
Internal Medicine (Cardiovascular Disease)
4550 MEMORIAL DR, STE 310
BELLEVILLE, IL 62226
St. Clair County (618) 257-6112

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 Oa Associated LLC's NPI number?

The NPI number for Oa Associated LLC is 1699061259. It was assigned to this organization in the NPPES registry on June 22, 2011. The provider is doing business as Southern Illinois Sports Medicine.

Where is Oa Associated LLC located?

Oa Associated LLC is located at 4550 Memorial Dr Moc-1, Suite G-100, Belleville, IL 62226. The listed phone number is (618) 236-2246.

What is Oa Associated LLC'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 Oa Associated LLC was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.