IndividualActive
Victoria Vintevoghel, MHSA, AT, ATC
NPI 1093067142 · Athletic Trainer · Clarkston, MI
Provider details
- NPI number
- 1093067142
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MHSA, AT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 2601000877 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
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
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
6590 Middle Lake Rd
Clarkston, MI 48346-2423
Phone: (248) 623-5608
Approximate (ZIP-level) locationGet directions
Mailing address
3214 Donna Dr
Sterling Heights, MI 48310-2904
Registry dates
- Enumerated
- 2012-10-12
- Last updated
- 2012-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.