IndividualActive
Daniel Boulanger, ATC, CES, PES
NPI 1053824805 · Athletic Trainer · Lincoln, RI
Provider details
- NPI number
- 1053824805
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, CES, PES
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1762 Louisquisset Pike
Lincoln, RI 02865
Phone: (401) 333-7000
Street-level locationGet directions
Mailing address
37 Garden Dr
Riverside, RI 02915-3023
Additional practice locations (1)
- 400 East AveWarwick, RI 02886-1807Phone: (401) 825-1000
Registry dates
- Enumerated
- 2017-11-14
- Last updated
- 2018-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.