Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mary E Derck, ATC
Athletic Trainer in Toledo, OH · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104955889
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Registry record
Entity type Individual (Type 1)
Name Mary E Derck
Credential ATC
Sex Female
Practice address 2865 N Reynolds Rd, Ste. 110, Toledo, OH, 43615
Phone (419) 578-7530
Enumeration date Mar 5, 2007
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License AT.002401 (OH) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1104955889 active?
Yes, as of the latest NPPES snapshot, NPI 1104955889 is active (record last updated 2007-07-08).
How do I verify Mary Derck's NPI record?
Cross-check NPI 1104955889 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Philip Nelsen Retina Specialist (Ophthalmology) Physician · Toledo, OH NPI 1982606109 David Kozy Retina Specialist (Ophthalmology) Physician · Toledo, OH NPI 1750383964 Scott Sadowski Optometrist · Toledo, OH NPI 1750386710 Roger Kruse Sports Medicine (Family Medicine) Physician · Toledo, OH NPI 1487650339 Christopher Foetisch Orthopaedic Surgery Physician · Toledo, OH NPI 1780681692 Gilbert Sinco Physician Assistant · Toledo, OH NPI 1285632257 Craig Colville Plastic Surgery Physician · Toledo, OH NPI 1932108271 John Zavell Plastic Surgery Physician · Toledo, OH NPI 1811996150
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.