IndividualActive
Jeremy Gall, ATC
NPI 1063409332 · Athletic Trainer · Fort Wayne, IN
Provider details
- NPI number
- 1063409332
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 36001023A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(100/100 index)
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
3 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
3701 Carroll Rd
Fort Wayne, IN 46818-9528
Phone: (260) 637-3161
Street-level locationGet directions
Mailing address
229 Barouche Pl
Fort Wayne, IN 46845-2110
Additional practice locations (2)
- 10106 Dupont Circle Dr EFort Wayne, IN 46825-1639Phone: (260) 479-2744
- 7601 W Jefferson BlvdFort Wayne, IN 46804-4133Phone: (260) 435-2620
Registry dates
- Enumerated
- 2005-10-03
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.