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

Mr. Jeremy R. Gall, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1063409332

Mr. Jeremy R. Gall, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fort Wayne, Indiana. Works from 3 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2005
Specialties on file
2
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

3701 Carroll Rd
Fort Wayne, IN 46818-9528
Phone: (260) 637-3161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 — (260) 435-2620
  • 10106 Dupont Circle Dr E, Fort Wayne, IN 46825-1639 — (260) 479-2744

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36001023A (IN)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 36001023A (IN)

Record details

NPI number1063409332
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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