Michelle Fasano, AT, ATC
NPI 1063757219 · Athletic Trainer · Fort Campbell, KY
Michelle Fasano, AT, ATC is a Athletic Trainer provider in Fort Campbell, KY (NPI 1063757219).
Provider details
- NPI number
- 1063757219
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- AT, ATC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
13 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Additional practice locations (2)
- 110 Horton Field HouseNormal, IL 61790-9406Phone: (309) 438-7246
- 11050 Mount Belvedere BlvdFort Drum, NY 13602-5438Phone: (315) 772-2778
Registry dates
- Enumerated
- 2012-11-29
- Last updated
- 2023-10-16
- Certified
- 2022-10-03
Frequently asked questions
- What is Michelle Fasano's NPI number?
- Michelle Fasano's National Provider Identifier (NPI) is 1063757219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Fasano's specialty?
- Michelle Fasano is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Michelle Fasano located?
- Michelle Fasano's practice location on file with NPPES is 650 Joel Dr, Fort Campbell, KY 42223-5318.
- What is Michelle Fasano's phone number?
- The practice phone number listed in the NPPES registry for Michelle Fasano is (847) 778-7280.
- Is Michelle Fasano's NPI active?
- Yes — Michelle Fasano's NPI (1063757219) is active in the NPPES registry as of the last update on 2023-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.