Matthew Willett, ATC
NPI 1104226018 · Athletic Trainer · Fort Wayne, IN
Matthew Willett, ATC is a Athletic Trainer provider in Fort Wayne, IN (NPI 1104226018).
Provider details
- NPI number
- 1104226018
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36001778A (IN)
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
11 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)
- 1104 E Grace StRensselaer, IN 47978-3211Phone: (219) 866-6245
Registry dates
- Enumerated
- 2014-08-27
- Last updated
- 2018-03-17
Frequently asked questions
- What is Matthew Willett's NPI number?
- Matthew Willett's National Provider Identifier (NPI) is 1104226018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Willett's specialty?
- Matthew Willett is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Matthew Willett located?
- Matthew Willett's practice location on file with NPPES is 1010 Memorial Way Ste 100, Fort Wayne, IN 46805-1368.
- What is Matthew Willett's phone number?
- The practice phone number listed in the NPPES registry for Matthew Willett is (260) 341-9427.
- Is Matthew Willett's NPI active?
- Yes — Matthew Willett's NPI (1104226018) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.