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MR. RANDY ALLAN BALLARD ATC
NPI 1710375712
Specialist/Technologist - Athletic Trainer in Champaign, IL

Active since December 30, 2014
3112 VALERIE DR, CHAMPAIGN, IL 61822(217) 766-8137 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Randy Allan Ballard Atc NPPES

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

MR. RANDY ALLAN BALLARD ATC (NPI 1710375712) is an individual athletic trainer provider in Champaign, Illinois, licensed in Illinois (096.001564) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1710375712
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. RANDY ALLAN BALLARDCredential: ATC
Location Address3112 VALERIE DRChampaign, IL 61822-1831
Mailing Address3112 Valerie DrChampaign, IL 61822-1831 · (217) 766-8137
Phone(217) 766-8137
Sole ProprietorYes
Enumeration DateDecember 30, 2014
✔ NPI 1710375712 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 · 096.001564
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.
3112 VALERIE DR, Champaign, IL 61822
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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 Randy Ballard's NPI number?

The NPI number for Randy Ballard is 1710375712. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Where is Randy Ballard located?

Randy Ballard practices at 3112 Valerie Dr, Champaign, IL 61822. The listed phone number is (217) 766-8137.

What is Randy Ballard'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 Randy Ballard was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.