Ian Petersen, ATC-L
NPI 1255305850 · Athletic Trainer · South Holland, IL
Ian Petersen, ATC-L is a Athletic Trainer provider in South Holland, IL (NPI 1255305850).
Provider details
- NPI number
- 1255305850
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC-L
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
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
20 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
- 2006-02-13
- Last updated
- 2007-11-26
Frequently asked questions
- What is Ian Petersen's NPI number?
- Ian Petersen's National Provider Identifier (NPI) is 1255305850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ian Petersen's specialty?
- Ian Petersen is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ian Petersen located?
- Ian Petersen's practice location on file with NPPES is 345 Taft Road, South Holland, IL 60473.
- What is Ian Petersen's phone number?
- The practice phone number listed in the NPPES registry for Ian Petersen is (708) 596-0107.
- Is Ian Petersen's NPI active?
- Yes — Ian Petersen's NPI (1255305850) is active in the NPPES registry as of the last update on 2007-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.