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

Samuel Lee Niedergerke

Individual provider Athletic Trainer · NPI 1932611779

Samuel Lee Niedergerke is an Athletic Trainer in Fort Riley, Kansas. Works from 2 locations. Licensed in Illinois and Kansas.

Licensed in
IL, KS
In the registry since
2017
Specialties on file
4

Practice location Address checks out

741S Ray Rd
Fort Riley, KS 66442
Phone: (573) 230-7959
Show map & directions

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

Additional practice locations (1)

  • 411 Central Methodist Sq, Fayette, MO 65248-1104 — (660) 248-3391

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 24-01823 (KS)
Athletic Trainer Taxonomy 2255A2300X · Licence 096005167 (IL)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932611779
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2017
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Other providers in Fort Riley