Unknown Individual – Athletic Trainer, NPI 1255397592

Unknown Individual is a healthcare provider. based in Mt zion, Illinois. specializing in Athletic Trainer. The NPI Number for Unknown Individual is 1255397592

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255397592
Phone
(217) 433-0123
Address
5452 N KRUSE RD
Deactivation Date
30 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5452 N KRUSE RD

    MT ZION, IL 625492723

    Phone: (217) 433-0123

    Type: Mailing

  • 1900, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States

    SUITE 150

    DECATUR, IL 625213824

    Phone: (217) 428-6222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62549)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1255397592?
NPI 1255397592 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Athletic Trainer. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Mt Zion, Illinois as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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