Roger Kollock, ATC
NPI 1922057264 · Athletic Trainer · Broken Arrow, OK
Roger Kollock, ATC is a Athletic Trainer provider in Broken Arrow, OK (NPI 1922057264).
Provider details
- NPI number
- 1922057264
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT1084 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1440 Suncrest DrGray, TN 37615-4118Phone: (423) 477-1600Fax: (423) 477-1625
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Frequently asked questions
- What is Roger Kollock's NPI number?
- Roger Kollock's National Provider Identifier (NPI) is 1922057264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roger Kollock's specialty?
- Roger Kollock is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Roger Kollock located?
- Roger Kollock's practice location on file with NPPES is 2405 S 14th St, Broken Arrow, OK 74012-7263.
- What is Roger Kollock's phone number?
- The practice phone number listed in the NPPES registry for Roger Kollock is (423) 943-1528.
- Is Roger Kollock's NPI active?
- Yes — Roger Kollock's NPI (1922057264) is active in the NPPES registry as of the last update on 2019-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.