Peter O'Fallon, ATC/LAT
NPI 1104200179 · Athletic Trainer · Destin, FL
Peter O'Fallon, ATC/LAT is a Athletic Trainer provider in Destin, FL (NPI 1104200179).
Provider details
- NPI number
- 1104200179
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC/LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL 4145 (FL)
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
10 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
Mailing address
Registry dates
- Enumerated
- 2015-07-19
- Last updated
- 2015-07-19
Frequently asked questions
- What is Peter O'Fallon's NPI number?
- Peter O'Fallon's National Provider Identifier (NPI) is 1104200179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter O'Fallon's specialty?
- Peter O'Fallon is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Peter O'Fallon located?
- Peter O'Fallon's practice location on file with NPPES is 4421 Commons Dr E, Destin, FL 32541-3484.
- What is Peter O'Fallon's phone number?
- The practice phone number listed in the NPPES registry for Peter O'Fallon is (850) 460-2588.
- Is Peter O'Fallon's NPI active?
- Yes — Peter O'Fallon's NPI (1104200179) is active in the NPPES registry as of the last update on 2015-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.