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ILLEXUS MARTIN
NPI 1790359255
Specialist/Technologist - Athletic Trainer in Saint Paul, MN

Active since May 18, 2021
1575 LAUREL AVE APT B, SAINT PAUL, MN 55104(763) 477-1743 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illexus Martin NPPES

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

ILLEXUS MARTIN (NPI 1790359255) is an individual athletic trainer provider in Saint Paul, Minnesota and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1790359255
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameILLEXUS MARTIN
Location Address1575 LAUREL AVE APT BSaint Paul, MN 55104-7494
Mailing Address1575 Laurel Ave Apt BSaint Paul, MN 55104-7494 · (763) 477-1743
Phone(763) 477-1743
Sole ProprietorNo
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1790359255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1575 LAUREL AVE APT B, Saint Paul, MN 55104
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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 Illexus Martin's NPI number?

The NPI number for Illexus Martin is 1790359255. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Illexus Martin located?

Illexus Martin practices at 1575 Laurel Ave Apt B, Saint Paul, MN 55104. The listed phone number is (763) 477-1743.

What is Illexus Martin'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 Illexus Martin was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.