1. Home
  2. Directory
  3. Arizona
  4. El Mirage
  5. Specialist Technologist
  6. NPI Profile

STEPHEN J PETTIS II ATC
NPI 1871137455
Specialist/Technologist - Athletic Trainer in El Mirage, AZ

Active since November 06, 2019
12974 W VIA CAMILLE, EL MIRAGE, AZ 85335(619) 379-8814 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 25, 2022, Nov 6, 2019 (2 updates tracked since 2019).

About Stephen J Pettis Ii Atc NPPES

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

STEPHEN J PETTIS II ATC (NPI 1871137455) is an individual athletic trainer provider in El Mirage, Arizona, licensed in Arizona (ATR-009254) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1871137455
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameSTEPHEN J PETTIS IICredential: ATC
Location Address12974 W VIA CAMILLEEl Mirage, AZ 85335-5300
Mailing Address12974 W Via CamilleEl Mirage, AZ 85335-5300 · (619) 379-8814
Phone(619) 379-8814
Sole ProprietorYes
Enumeration DateNovember 6, 2019
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1871137455 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 AZ · ATR-009254
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.
12974 W VIA CAMILLE, El Mirage, AZ 85335
Open in Google Maps ↗

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 Stephen Pettis's NPI number?

The NPI number for Stephen Pettis is 1871137455. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Stephen Pettis located?

Stephen Pettis practices at 12974 W Via Camille, El Mirage, AZ 85335. The listed phone number is (619) 379-8814.

What is Stephen Pettis'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 Stephen Pettis was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.