Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. MARY E JACOBS ATC, LAT
NPI 1801880414
Specialist/Technologist - Athletic Trainer in Marion, IN

Active since September 09, 2005
4201 S WASHINGTON ST, MARION, IN 46953(765) 677-1675(765) 677-1676 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Mary E Jacobs Atc, Lat NPPES

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

MS. MARY E JACOBS ATC, LAT (NPI 1801880414) is an individual athletic trainer provider in Marion, Indiana, licensed in Indiana (36000359A) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1801880414
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. MARY E JACOBSCredential: ATC, LAT
Location Address4201 S WASHINGTON STMarion, IN 46953-4974
Mailing Address1715 W Overlook RdMarion, IN 46952-1120 · (765) 677-1675 · Fax (765) 677-1676
Fax(765) 677-1676
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1801880414 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 IN · 36000359A
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.

4201 S WASHINGTON ST, Marion, IN 46953

Other Providers at the Same Location NPPES 15

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

Specialist/Technologist (Athletic Trainer)
4201 S WASHINGTON ST
MARION, IN 46953
Specialist/Technologist (Athletic Trainer)
4201 S WASHINGTON ST
MARION, IN 46953
Specialist/Technologist (Athletic Trainer)
4201 S WASHINGTON ST
MARION, IN 46953
Prevention Professional
4201 S WASHINGTON ST
MARION, IN 46953
Specialist/Technologist (Athletic Trainer)
4201 S WASHINGTON ST
MARION, IN 46953
Physical Therapist
4201 S WASHINGTON ST
MARION, IN 46953
Student in an Organized Health Care Education/Training Program
4201 S WASHINGTON ST
MARION, IN 46953
Specialist/Technologist (Athletic Trainer)
4201 S WASHINGTON ST
MARION, IN 46953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801880414, enumerated as an "individual" on September 09, 2005.

The provider is located at 4201 S WASHINGTON ST MARION, IN 46953 and the phone number is (765) 677-1675.

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