Michael Paul Dreisbach, ATC
Specialist/Technologist, Athletic Trainer in Fort Polk, LA. Individual provider (NPI-1).
NPI number1194125047
StatusActive
Last updated in NPPESDec 31, 2025
Details
- NPI
- 1194125047
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Paul Dreisbach
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2014
- Certification date
- Dec 31, 2025
- Last updated
- Dec 31, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1406 | OK | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2013006628 | MO |
Practice location
1585 3rd StFort Polk, LA 71459-5102
Phone 618-973-0247
Mailing address
6050 Rothwell St Rm 132Fort Sill, OK 73503-4482
Phone 580-442-2131
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Fort Polk, LA
- Tadd William BergNPI 1851906697
- Nicole HowellsNPI 1326692161
- Meghan Patoray, ATCNPI 1679936322
- Matthew C Rodrigue, ATC, LAT, MANPI 1003570862
- Ebony Taryn Rose, MS, LAT, ATCNPI 1710441951
- Heather Leigh Thomas, ATCNPI 1124773569
- Emily Rose Walker, ATCNPI 1326771882
- Vernita Reena Young, MA/ATCNPI 1619905759
All 9 Athletic Trainer providers in Fort Polk · All 267 providers in Fort Polk
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.