Active NPI
Phillip Edward Voorhis, ATC, MSED.
- Athletic Trainer
- Dekalb, IL
National Provider Identifier
1205805041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096000344
- Practice address
- 1525 W Lincoln Hwy
Dekalb, IL 60115-3989 - Phone
- (815) 753-0211
- Fax
- (815) 753-2415
- NPI assigned
- Mar 15, 2006
- Last updated
- Feb 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096000344 | IL | Primary |
Addresses
Primary practice location
1525 W Lincoln Hwy
Dekalb, IL 60115-3989
Mailing address
836 Vienna Blvd
Dekalb, IL 60115-2651
Phone (815) 761-1957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096000344 | IL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Illinois University | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northern Illinois University Sports Medicine
- Sports Medicine (Family Medicine) Physician
- Dekalb, IL
- NPI 1700332392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1205805041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 VIENNA BLVD",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152651",
"telephone_number": "815-761-1957",
"fax_number": "815-753-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W LINCOLN HWY",
"city": "DEKALB",
"state": "IL",
"postal_code": "601153989",
"telephone_number": "815-753-0211",
"fax_number": "815-753-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOORHIS",
"first_name": "PHILLIP",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "ATC, MSED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096000344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.