Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREK CHARLES PONTIUS, ATC
Active Sole ProprietorMR. JEREK CHARLES PONTIUS, ATC is a Athletic Trainer healthcare provider located in FREEPORT, Illinois. NPI 1295243301 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FREEPORT, IL
Registration Details
- NPI Number
- 1295243301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2018 (8.5504278471534 yrs)
- Last Updated
- Jan 11, 2018
- License
-
1924 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
627 N GREENFIELD DRFREEPORT, IL, 610322914Browse IL providers · Browse ZIP 61032
- Phone
- 8159905395
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FREEPORT, IL
| Name | Credential | NPI |
|---|---|---|
| JEFFREY THOMAS LYRENMANN | ATC, CSCS, PES | 1235291154 |
| MRS. JENNIFER KIMBERLY THOMPSON | ATC, LAT, PES | 1386706208 |
| MS. EMILY KRISTINE GIGLIO | M.S., ATC, LAT | 1760544548 |
| KAYLA NICOLE RODEBAUGH | ATC | 1912146614 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.