Provider Type Icon

OA ASSOCIATED LLC NPI 1699061259


NPI Information

NPI: 1699061259
Provider Name: OA ASSOCIATED LLC

Doing Business As: SOUTHERN ILLINOIS SPORTS MEDICINE

Classification: Specialist/Technologist - 2255A2300X
Entity Type: Organization

Specialization: Athletic Trainer

Address:
4550 MEMORIAL DR
MOC-1, SUITE G-100
BELLEVILLE, IL
ZIP 62226
Phone: (618) 236-2246
Get Directions

OA ASSOCIATED LLC is an athletic trainer specialist technologist in Belleville, IL. The provider is 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. OA ASSOCIATED LLC NPI is 1699061259. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Illinois Sports Medicine.

The provider's business location address is:

4550 MEMORIAL DR
MOC-1, SUITE G-100
BELLEVILLE, IL
ZIP 62226-372
Phone: (618) 236-2246
Fax: (618) 236-2315

The provider's authorized official is Jason Daniel Noeldner .
The authorized official title is Athletic Trainer and has the following contact phone number (618) 236-2246.

The enumeration date for this NPI number is 6/22/2011 and was last updated on 6/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic Trainer096002594ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.