IndividualActive
Brett Spack, ATC, LAT
NPI 1104240902 · Athletic Trainer · Carmel, IN
Provider details
- NPI number
- 1104240902
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36002164A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1402 Chase Ct
Carmel, IN 46032-7502
Phone: (317) 848-5867
Street-level locationGet directions
Mailing address
5131 Callan Dr
Indianapolis, IN 46254-3774
Registry dates
- Enumerated
- 2014-02-13
- Last updated
- 2014-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.