Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Peter Mitchell Estrada , DAT, LAT, ATC, BCS-O

Specialist/Technologist - Athletic Trainer β€’ Tinker Afb, OK

Active NPI 1487086484 Individual Practitioner Male Practitioner
Practice location in NPPES

7050 Air Depot Blvd
Tinker Afb, OK 731458716

Call 4057349595 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

7050 Air Depot Blvd

Tinker Afb, OK 731458716

Telephone 4057349595
Organization at the Same NPPES Address or Phone
Department Of The Air Force 72d Medical Group Facility NPI 1568877702

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

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 Tinker Afb and Oklahoma

2 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Tinker Afb, OK (440 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

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: 2025-03-26
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES TX AT5394

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.

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: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Markia Anderson , LCSW

Social Worker - Clinical

NPI 1356721203

Licensed Clinical Social Worker

Dr. Jocelyn Barton , PhD

Psychologist - Clinical

NPI 1902129307

Doctor of Philosophy (Ph.D.)

James Dillard , PA-C

Physician Assistant

NPI 1114486701

Physician Assistant (Certified)

NPI 1801233861

Doctor of Dental Surgery

Angela Schetter , APRN

Nurse Practitioner - Family

NPI 1154028371

Advanced Practice Registered Nurse

NPI 1730409376

Doctor of Dental Surgery

Career & Practice History Timeline

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

18 Historical Events
πŸ“
Updated Business Mailing Address March 26, 2025

Registered at 7209 JACK DR, OKLAHOMA CITY, OK 731324809 (Tel: 4055460986)

πŸ‘€
Provider Name / Credentials Updated March 26, 2025

Recorded as PETER ESTRADA, DAT, LAT, ATC, BCS-O

πŸ“
Updated Practice Location June 22, 2023

Registered at 7050 AIR DEPOT BLVD, TINKER AFB, OK 731458716 (Tel: 4057349595)

πŸ‘€
Provider Name / Credentials Updated January 23, 2021

Recorded as PETER ESTRADA, DAT, ATC, LAT, EP-C

πŸ“
Updated Practice Location December 04, 2019

Registered at 3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 782344504 (Tel: 2109163880)

πŸ“
Updated Business Mailing Address December 04, 2019

Registered at 15315 KELLYFIELD BAY, SAN ANTONIO, TX 782536588 (Tel: 3256686477)

πŸ‘€
Provider Name / Credentials Updated December 04, 2019

Recorded as PETER ESTRADA, ATC, LAT,OPE-C, EP-C

βœ…
NPI Profile Active April 18, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address April 18, 2017

Registered at 4102 BENBROOK ST, ABILENE, TX 796053725 (Tel: 3256686477)

πŸ“
Updated Practice Location April 18, 2017

Registered at 2200 HICKORY ST, ABILENE, TX 796012345 (Tel: 3257944120)

πŸ‘€
Provider Name / Credentials Updated April 18, 2017

Recorded as PETER ESTRADA, ATC, LAT, EP-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Specialist/Technologist (license number reported to NPPES: TX AT5394)

βœ…
NPI Profile Active August 01, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 01, 2013

Registered at 2200 HICKORY ST, ABILENE, TX 796012345 (Tel: 3256701324)

πŸ“
Business Mailing Address (Initial Record) August 01, 2013

Registered at 750 N JUDGE ELY BLVD APT 104, ABILENE, TX 796015518 (Tel: 3256686477)

πŸ‘€
Provider Name / Credentials (Initial Record) August 01, 2013

Recorded as PETER ESTRADA, ATC, LAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2013

Specialist/Technologist (license number reported to NPPES: TX AT5394)

🟒
Initial NPI Registration & Enumeration August 01, 2013

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1487086484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2013
Last Update: March 26, 2025
Sole Proprietor: No

Mailing Address

7209 Jack Dr

Oklahoma City, OK 731324809

Phone: 4055460986

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.