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JACOB RILEY PROFFER DAT
NPI 1811404171
Specialist/Technologist - Athletic Trainer in Baton Rouge, LA

Active since January 08, 2018
12400 BURBANK DR, BATON ROUGE, LA 70810(225) 924-2157 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, Mar 17, 2018, Jan 8, 2018 (3 updates tracked since 2018).

About Jacob Riley Proffer Dat NPPES

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

JACOB RILEY PROFFER DAT (NPI 1811404171) is an individual athletic trainer provider in Baton Rouge, Louisiana, licensed in Louisiana (337524) and active in the NPI registry since January 2018. He maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1811404171
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACOB RILEY PROFFERCredential: DAT
Location Address12400 BURBANK DRBaton Rouge, LA 70810
Mailing Address142 Lobdell AveBaton Rouge, LA 70806-4610 · (225) 924-2157 · Fax (225) 924-5674
Phone(225) 924-2157
Sole ProprietorNo
Enumeration DateJanuary 8, 2018
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1811404171 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
Licenses✔ Licensed in LA · 337524✔ Licensed in IN · 36003343A✔ Licensed in FL · AL6250
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.
12400 BURBANK DR, Baton Rouge, LA 70810
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Secondary Practice Location 1

Location 18080 Bluebonnet Blvd Ste 1000Baton Rouge, LA 70810-7827 · Phone (225) 408-7985

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 Jacob Proffer's NPI number?

The NPI number for Jacob Proffer is 1811404171. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Jacob Proffer located?

Jacob Proffer practices at 12400 Burbank Dr, Baton Rouge, LA 70810. The listed phone number is (225) 924-2157.

What is Jacob Proffer'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 Jacob Proffer was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.