Adrian Pettaway, ATC
NPI 1134641608 · Athletic Trainer · Mesa, AZ
Adrian Pettaway, ATC is a Athletic Trainer provider in Mesa, AZ (NPI 1134641608).
Provider details
- NPI number
- 1134641608
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Massage Therapist225700000X
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
8 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2017-07-16
- Last updated
- 2017-10-31
Frequently asked questions
- What is Adrian Pettaway's NPI number?
- Adrian Pettaway's National Provider Identifier (NPI) is 1134641608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Adrian Pettaway's specialty?
- Adrian Pettaway is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Adrian Pettaway located?
- Adrian Pettaway's practice location on file with NPPES is 2510 W Rio Salado Pkwy, Mesa, AZ 85201-3603.
- What is Adrian Pettaway's phone number?
- The practice phone number listed in the NPPES registry for Adrian Pettaway is (301) 275-1176.
- Is Adrian Pettaway's NPI active?
- Yes — Adrian Pettaway's NPI (1134641608) is active in the NPPES registry as of the last update on 2017-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.