IndividualActive
Russell Fiore, ATC
NPI 1104957620 · Athletic Trainer · Providence, RI
Provider details
- NPI number
- 1104957620
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT00014 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Brown University
235 Hope St
Providence, RI 02912-0001
Phone: (401) 863-3851
Fax: (401) 863-1156
Approximate (ZIP-level) locationGet directions
Mailing address
6 Red Chimney Dr
Lincoln, RI 02865-4610
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.