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

Jerry Donnell Ford, ATC

Individual provider Athletic Trainer · NPI 1275877201

Jerry Donnell Ford, ATC is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4251 Lahmeyer Rd
Fort Wayne, IN 46815-5676
Phone: (260) 432-4700
Fax: (260) 459-9262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36001580A (IN)

Record details

NPI number1275877201
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676

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