Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jakob Rodriguez, ATC

Individual provider Athletic Trainer · NPI 1518421494

Jakob Rodriguez, ATC is an Athletic Trainer in Montgomery, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

2311 Thunder Gulch Rd
Montgomery, IL 60538-3442
Phone: (815) 209-6360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1518421494
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 25, 2019
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021

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