IndividualActive
Cody Parker, ATC
NPI 1053723882 · Athletic Trainer · Williston, VT
Provider details
- NPI number
- 1053723882
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 1040096671 (VT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
426 Industrial Ave
Suite 190
Williston, VT 05495-4448
Phone: (802) 860-4360
Fax: (802) 488-3160
Street-level locationGet directions
Mailing address
426 Industrial Ave
Williston, VT 05495-4448
Registry dates
- Enumerated
- 2014-05-28
- Last updated
- 2014-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.