Tyler Gardiner, ATC
NPI 1063035616 · Athletic Trainer · South Portland, ME
Tyler Gardiner, ATC is a Athletic Trainer provider in South Portland, ME (NPI 1063035616).
Provider details
- NPI number
- 1063035616
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT881 (ME)
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
6 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)
- 61 Green StWatertown, MA 02472-2351Phone: (617) 924-3794
Registry dates
- Enumerated
- 2020-05-18
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Frequently asked questions
- What is Tyler Gardiner's NPI number?
- Tyler Gardiner's National Provider Identifier (NPI) is 1063035616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Gardiner's specialty?
- Tyler Gardiner is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Tyler Gardiner located?
- Tyler Gardiner's practice location on file with NPPES is 119 Gannett Dr, South Portland, ME 04106-6942.
- What is Tyler Gardiner's phone number?
- The practice phone number listed in the NPPES registry for Tyler Gardiner is (207) 773-0040.
- Is Tyler Gardiner's NPI active?
- Yes — Tyler Gardiner's NPI (1063035616) is active in the NPPES registry as of the last update on 2022-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.