IndividualActive
Carlie Clark, ATC, LAT, CES
NPI 1114383122 · Athletic Trainer · Dayton, OH
Provider details
- NPI number
- 1114383122
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT, CES
- Sex
- Female
- Sole proprietor
- No
- License
- AT.003570 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
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
725 University Blvd
Dayton, OH 45435-0001
Phone: (937) 245-7559
Fax: (937) 425-0736
Approximate (ZIP-level) locationGet directions
Mailing address
1206 Dickens Dr Apt a
Fairborn, OH 45324-8790
Registry dates
- Enumerated
- 2016-01-06
- Last updated
- 2016-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.