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NPISignal

Individual Healthcare Provider

Amanda Ann Fulwider, MA, AT, ATC

NPI Record: ActiveSpecialist/Technologist — Athletic Trainer
NPI1629445002
Marysville, Ohio

Provider's NPPES record last updated: March 29, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1629445002
Primary Specialty
Specialist/Technologist — Athletic Trainer
Practice Location
Marysville, Ohio
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 4:39 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Specialist/Technologist

    Athletic Trainer

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    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.

    Taxonomy code 2255A2300X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    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.

    Taxonomy code 390200000X

Provider-Reported License Information

Specialist/Technologist (Ohio)
AT006116
Specialist/Technologist
2000030605
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

120 Colemans Xing

Marysville, Ohio 43040-7115

Phone: (937) 578-7847

Additional Practice Location

Central Michigan University Rose Center - Room 145

Mount Pleasant, Michigan 48859-9337

Phone: (937) 243-9742

Additional Practice Location

115 Collingwood Dr

Marysville, Ohio 43040-9337

Phone: (937) 243-9742

Record Information

Enumeration Date
September 1, 2015
Provider's NPPES Record Last Updated
March 29, 2022
Certification Date
March 29, 2022
NPISignal NPPES Dataset
August 2026

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