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

Mr. Bradon Thomas Boeckman, PTA, ATC/L

Individual provider Athletic Trainer · NPI 1790122802

Mr. Bradon Thomas Boeckman, PTA, ATC/L is an Athletic Trainer in Greenville, Ohio. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1111 Sweitzer St
Greenville, OH 45331-1189
Phone: (937) 638-0783
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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 AT.003824 (OH)

Record details

NPI number1790122802
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , ATC/L
Sole proprietorNo
NPI enumeratedMay 30, 2013
Last updated in NPPESJuly 2, 2014

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