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

Josiah Douglas, LAT, ATC

Individual provider Athletic Trainer · NPI 1356123079

Josiah Douglas, LAT, ATC is an Athletic Trainer in Aurora, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1500 Sullivan Rd
Aurora, IL 60506-1067
Phone: (630) 907-5000
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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 096.004760 (IL)

Record details

NPI number1356123079
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023

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