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MR. ROGER OLEN KOLLOCK JR. ATC
NPI 1922057264
Specialist/Technologist - Athletic Trainer in Broken Arrow, OK

Active since May 05, 2006
2405 S 14TH ST, BROKEN ARROW, OK 74012(423) 943-1528 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Roger Olen Kollock Jr. Atc NPPES

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

MR. ROGER OLEN KOLLOCK JR. ATC (NPI 1922057264) is an individual athletic trainer provider in Broken Arrow, Oklahoma, licensed in Oklahoma (AT1084) and active in the NPI registry since May 2006. He maintains a secondary practice location in Gray.

NPPES Registry Identity

NPI1922057264
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. ROGER OLEN KOLLOCK JR.Credential: ATC
Location Address2405 S 14TH STBroken Arrow, OK 74012-7263
Mailing Address2405 S 14th StBroken Arrow, OK 74012-7263 · (423) 943-1528
Phone(423) 943-1528
Sole ProprietorYes
Enumeration DateMay 5, 2006
Last NPPES UpdateDecember 27, 2019
✔ NPI 1922057264 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 OK · AT1084
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.

2405 S 14TH ST, Broken Arrow, OK 74012
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Secondary Practice Location 1

Location 11440 Suncrest DrGray, TN 37615-4118 · Phone (423) 477-1600 · Fax (423) 477-1625

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 Roger Kollock's NPI number?

The NPI number for Roger Kollock is 1922057264. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Roger Kollock located?

Roger Kollock practices at 2405 S 14th St, Broken Arrow, OK 74012. The listed phone number is (423) 943-1528.

What is Roger Kollock'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 Roger Kollock was last updated on December 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.