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: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About RANDY BALLARD

This page provides the complete NPI Profile along with additional information for Randy Ballard, a provider established in Champaign, Illinois with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1710375712 assigned on December 2014. The practitioner's primary taxonomy code is 2255A2300X with license number 096.001564 (IL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1710375712 Verify this NPI
Provider Name
MR. RANDY ALLAN BALLARD ATC
Gender
Male
Entity Type
Individual
Location Address
3112 VALERIE DR CHAMPAIGN, IL 61822
Location Phone
(217) 766-8137
Mailing Address
3112 VALERIE DR CHAMPAIGN, IL 61822
Mailing Phone
(217) 766-8137
Is Sole Proprietor?
Yes
Enumeration Date
12-30-2014
Last Update Date
12-30-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
096.001564
License State
IL
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710375712, enumerated as an "individual" on December 30, 2014.

The provider is located at 3112 VALERIE DR CHAMPAIGN, IL 61822 and the phone number is (217) 766-8137.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.