Bryan Domitrz, ATC, LAT
Athletic Trainer · Normal, IL
Bryan Domitrz, ATC, LAT is an athletic trainer with a practice address in Normal, Illinois, and NPI 1871186304, issued on Feb 16, 2021. Check the license (Illinois 096.004969, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Bryan Domitrz
- Credential
- ATC, LAT
- Primary taxonomy
- Athletic Trainer 2255A2300X
- License number
- 096.004969 IL
Self-reported in NPPES; status is on the state search - Practice location
- 501 N Parkside RD, Normal, IL 61761
- Phone
- (309) 557-4402
- Enumerated
- Feb 16, 2021
- Entity
- Type 1 · individual
Also registered at 501 N Parkside RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hannah HarrisAthletic Trainer1881185296
- Ryanne McDanielAthletic Trainer1710387741
- Margaret Modglin, MS CCC-SLP/LSpeech-Language Pathologist1487172466
Verify Bryan Domitrz in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 096.004969Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
60 athletic trainer records list a Normal practice address
They are 60 of the 963 NPPES records with a Normal practice address, and 2,119 athletic trainer records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 60 in Normal → All 2,119 in Illinois → Every provider in Normal →
Other athletic trainer records in Illinois
- Andrew Accardi, A.T.C/LDixon, IL1750359592
- Kasey Acito, LAT, ATCBolingbrook, IL1841640745
- Steven Adamkiewicz, M.S.,ATC/LLombard, IL1326058686
- Kaitlin Adams, ATCCaledonia, IL1760807937
- Laura Addy, ATCEvanston, IL1497111769
- Jason Adolph, MS, LAT ATCShorewood, IL1255390266
- Aristidis Adrahtas, ATC, MSChicago, IL1962038604
- Inga AgibalovaNorthbrook, IL1255099610
- Melanie AhlgrimChicago, IL1538136593
- Christian Ahlstrom, MAT, LAT, ATCWilmette, IL1396110128
Common questions
What is Bryan Domitrz, ATC, LAT's NPI number?
Bryan Domitrz, ATC, LAT's National Provider Identifier (NPI) is 1871186304, issued on Feb 16, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Bryan Domitrz, ATC, LAT located?
The NPPES record lists a practice address at 501 N Parkside RD, Normal, IL, 61761. Phone: (309) 557-4402. Providers update this record themselves, so call before visiting.
How can I verify Bryan Domitrz, ATC, LAT's license?
NPPES lists Illinois license number 096.004969, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.