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NPI · 1104200179 · NPPES-sourced

Mr. Peter O'fallon Atc/Lat

ActiveAthletic Trainer
NPI Number
1104200179
Type 1 · Individual
Taxonomy Code
2255A2300X
Contact
(850) 460-2588
License FL · AL 4145
Last Updated
Enumerated
Primary practice addressFL · 32541-3484
4421 Commons Dr E, Suite-B 108Destin, FL 32541-3484
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About this NPIWhat this record shows.

NPI 1104200179 is registered to Mr. Peter O'fallon Atc/Lat, a Athletic Trainer practising at 4421 Commons Dr E, Suite-B 108 in Destin, Florida. Athletic Trainer is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Peter O'fallon Atc/Lat has been enumerated in the National Provider Identifier (NPI) registry since 2015.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Peter O'fallon Atc/Lat accepts. To confirm in-network status with your specific health plan, contact Mr. Peter O'fallon Atc/Lat directly at (850) 460-2588.

Frequently asked

Yes. NPI 1104200179 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Athletic Trainer is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (850) 460-2588.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Peter O'fallon Atc/Lat is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2255A2300X
Last updated
Enumerated
StatusActive
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