Justin Bruckner, LAT, ATC
NPI 1225545411 · Athletic Trainer · West Islip, NY
Justin Bruckner, LAT, ATC is a Athletic Trainer provider in West Islip, NY (NPI 1225545411).
Provider details
- NPI number
- 1225545411
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
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
- 2018-01-09
- Last updated
- 2021-09-21
- Certified
- 2021-09-21
Frequently asked questions
- What is Justin Bruckner's NPI number?
- Justin Bruckner's National Provider Identifier (NPI) is 1225545411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Bruckner's specialty?
- Justin Bruckner is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Justin Bruckner located?
- Justin Bruckner's practice location on file with NPPES is 777 Pine Ave, West Islip, NY 11795-2707.
- What is Justin Bruckner's phone number?
- The practice phone number listed in the NPPES registry for Justin Bruckner is (631) 456-1779.
- Is Justin Bruckner's NPI active?
- Yes — Justin Bruckner's NPI (1225545411) is active in the NPPES registry as of the last update on 2021-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.