SAMUEL LEE NIEDERGERKE
NPI 1932611779
Specialist/Technologist - Athletic Trainer in Fort Riley, KS

Q: What is Samuel Niedergerke's NPI number?

The NPI number for Samuel Niedergerke is 1932611779. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Q: What is Samuel Niedergerke's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since November 02, 2017

741S RAY RD, FORT RILEY, KS 66442(573) 230-7959 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 30, 2025, Dec 24, 2025, Dec 16, 2025 and 1 more (4 updates tracked since 2017).

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About Samuel Lee Niedergerke NPPES

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

SAMUEL LEE NIEDERGERKE (NPI 1932611779) is an individual athletic trainer provider in Fort Riley, Kansas, licensed in Kansas (24-01823) and active in the NPI registry since November 2017. He maintains a secondary practice location in Fayette.

NPPES Registry Identity

NPI1932611779

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameSAMUEL LEE NIEDERGERKE

Location Address741S RAY RDFort Riley, KS 66442

Mailing Address909 Waxwing DrManhattan, KS 66502-6747 · (573) 230-7959

Phone(573) 230-7959

Sole ProprietorNo

Enumeration DateNovember 2, 2017

Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1932611779 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

Licenses✔ Licensed in KS · 24-01823✔ Licensed in IL · 096005167

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

741S RAY RD, Fort Riley, KS 66442

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Secondary Practice Location 1

Location 1411 Central Methodist SqFayette, MO 65248-1104 · Phone (660) 248-3391

Other Providers at the Same Location NPPES

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

JEFFERY R KREUSER AT-C

Specialist/Technologist (Athletic Trainer)

741S RAY RD
FORT RILEY, KS 66442

Riley County (785) 313-7016

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 Samuel Niedergerke's NPI number?

The NPI number for Samuel Niedergerke is 1932611779. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Where is Samuel Niedergerke located?

Samuel Niedergerke practices at 741S Ray Rd, Fort Riley, KS 66442. The listed phone number is (573) 230-7959.

What is Samuel Niedergerke'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 Samuel Niedergerke was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.