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AUTUMN LEE BENNETT
NPI 1891461729
Specialist/Technologist - Athletic Trainer in Bloomington, IN

Active since August 19, 2021
1001 E 17TH ST, BLOOMINGTON, IN 47408(517) 331-4654 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2023, Aug 19, 2021 (2 updates tracked since 2021).

About Autumn Lee Bennett NPPES

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

AUTUMN LEE BENNETT (NPI 1891461729) is an individual athletic trainer provider in Bloomington, Indiana, licensed in Indiana (36003760A) and active in the NPI registry since August 2021. She maintains a secondary practice location in Okemos.

NPPES Registry Identity

NPI1891461729
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameAUTUMN LEE BENNETT
Location Address1001 E 17TH STBloomington, IN 47408-1590
Mailing Address3521 Breezy Point DrOkemos, MI 48864-5967 · (517) 331-4654
Phone(517) 331-4654
Sole ProprietorNo
Enumeration DateAugust 19, 2021
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1891461729 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
License✔ Licensed in IN · 36003760A
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
1001 E 17TH ST, Bloomington, IN 47408
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Secondary Practice Location 1

Location 13521 Breezy Point DrOkemos, MI 48864-5967 · Phone (517) 331-4654

Other Providers at the Same Location NPPES 20

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

JONATHAN WICKS ATC, LAT, M.ED
Psychiatry & Neurology (Sports Medicine)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 855-7920
MITCH TAFFE M.S., ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST, ATHLETIC TRAINING
BLOOMINGTON, IN 47408
Monroe County (320) 305-1147
MR. ROBERT E BLACK ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 856-2225
GABRIELLE LANGERUD
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (320) 493-3783
MS. WENDELINE K. POPPY PT, LAT, ATC
Physical Therapist
1001 E 17TH ST, ASSEMBLY HALL
BLOOMINGTON, IN 47408
Monroe County (812) 855-8429
JENNIFER ANNE HAMILTON MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (347) 556-4478
MR. JOSEPH SCOTT LUEKEN ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST, ASSEMBLY HALL
BLOOMINGTON, IN 47408
Monroe County (812) 855-3619
SARA GILMARTIN
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 855-4509

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 Autumn Bennett's NPI number?

The NPI number for Autumn Bennett is 1891461729. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Autumn Bennett located?

Autumn Bennett practices at 1001 E 17th St, Bloomington, IN 47408. The listed phone number is (517) 331-4654.

What is Autumn Bennett'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 Autumn Bennett was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.