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

Owen Johnson, MAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1194667360

Owen Johnson, MAT, LAT, ATC is an Athletic Trainer in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026
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.

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Practice location Address checks out

1500 E Michigan St
Indianapolis, IN 46201-3079
Phone: (920) 257-8569
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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 36004022A (IN)

Record details

NPI number1194667360
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT , LAT , ATC
Sole proprietorYes
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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