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Daniel Takata , ATC

Specialist/Technologist - Athletic Trainer β€’ Ruston, LA

Active NPI 1801318720 Individual Practitioner Male Practitioner
Practice location in NPPES

1650 W Alabama Ave
Ruston, LA 712703120

Call 7737064540 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1650 W Alabama Ave

Ruston, LA 712703120

Telephone 7737064540
Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Charlottesville, VA; Chattanooga, TN; Florham Park, NJ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ruston and Louisiana

13 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Ruston, LA (637 in Louisiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ruston

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-10
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Louisiana State Board of Medical Examiners.
Look Up on State Board Site

Secondary Practice Locations

245 Saponi Ln, Unit 4

Charlottesville, VA 22901

Phone: 7737064540

1 Jets Dr

Florham Park, NJ 079321215

Phone: 7737064540

720 E 4th St

Chattanooga, TN 374031925

Phone: 7737064540

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location June 10, 2025

Registered at 1650 W ALABAMA AVE, RUSTON, LA 712703120 (Tel: 7737064540)

πŸ“
Updated Practice Location February 28, 2020

Registered at 720 E 4TH ST, CHATTANOOGA, TN 374031925 (Tel: 7737064540)

πŸ‘€
Provider Name / Credentials Updated February 28, 2020

Recorded as DANIEL TAKATA, ATC

πŸ“
Updated Practice Location October 28, 2019

Registered at 1 JETS DR, FLORHAM PARK, NJ 079321215 (Tel: 7737064540)

πŸ“
Updated Business Mailing Address October 28, 2019

Registered at 5127 N NORDICA AVE, CHICAGO, IL 606563605 (Tel: 7737064540)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2019

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 12, 2017

Registered at 245 SAPONI LN, UNIT 4, CHARLOTTESVILLE, VA 22901 (Tel: 7737064540)

πŸ“
Business Mailing Address (Initial Record) July 12, 2017

Registered at 245 SAPONI LN UNIT 4, CHARLOTTESVILLE, VA 229012678

πŸ‘€
Provider Name / Credentials (Initial Record) July 12, 2017

Recorded as DANIEL TAKATA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration July 12, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801318720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2017
Last Update: June 10, 2025
Sole Proprietor: No

Mailing Address

5127 N Nordica Ave

Chicago, IL 606563605

Phone: 7737064540

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.