IndividualActive
Isaac Jackson, ATHLETIC TRAINER
NPI 1134937725 · Health & Wellness Coach · Brandywine, MD
Provider details
- NPI number
- 1134937725
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Credential
- ATHLETIC TRAINER
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1241364241 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3916 Woodreed Dr
Brandywine, MD 20613-6006
Phone: (301) 526-8416
Street-level locationGet directions
Mailing address
3916 Woodreed Dr
Brandywine, MD 20613-6006
Registry dates
- Enumerated
- 2024-12-27
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.