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

Individual provider Athletic Trainer · NPI 1942627963

Joshua Stork, ATC, LAT, MBA is an Athletic Trainer in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

3601 S Calhoun St
Fort Wayne, IN 46807-2006
Phone: (260) 249-9534
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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 36001441A (IN)

Record details

NPI number1942627963
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT , MBA
Sole proprietorNo
NPI enumeratedMarch 27, 2014
Last updated in NPPESMarch 2, 2016

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