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

Owen Michael Mainord, MAT, LAT, ATC, NREMT

Individual provider Athletic Trainer · NPI 1376274886

Owen Michael Mainord, MAT, LAT, ATC, NREMT is an Athletic Trainer in Fort Drum, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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.
NREMT — Nationally Registered Emergency Medical Technician
An EMT registered at national level.

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Practice location Address checks out

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone: (315) 772-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1376274886
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT , LAT , ATC , NREMT
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022

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