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

Mr. Patrick Larry, ATC

Individual provider Athletic Trainer · NPI 1205822863

Mr. Patrick Larry, ATC is an Athletic Trainer in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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

1613 Burning Tree Dr
Decatur, IL 62521-9151
Phone: (217) 865-2637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1205822863
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESJuly 13, 2026
Mailing address1613 Burning Tree Dr, Decatur, IL 62521-9151

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