IndividualActive
Matt Smith, LAT, ATC
NPI 1124481601 · Athletic Trainer · Saint Bonaventure, NY
Provider details
- NPI number
- 1124481601
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Profile Score
Established profile(70/100 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
83% 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
3261 W State Rd
Saint Bonaventure, NY 14778
Phone: (716) 375-2230
Street-level locationGet directions
Mailing address
1604 Wilhoit Ave
Lewis Center, OH 43035-7933
Additional practice locations (1)
- 1604 Wilhoit AveLewis Center, OH 43035-7933Phone: (740) 816-3770
Registry dates
- Enumerated
- 2016-04-01
- Last updated
- 2018-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.