Individual provider Active NPI

Phillip Edward Voorhis, ATC, MSED.

  • Athletic Trainer
  • Dekalb, IL
National Provider Identifier
1205805041
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
096000344 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
096000344ILMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.