IndividualActive
Alexis Villanueva, ATC
NPI 1366711772 · Athletic Trainer · Lock Haven, PA
Provider details
- NPI number
- 1366711772
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- RT005066 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs 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
401 N Fairview St
Health Professions Building
Lock Haven, PA 17745-2342
Phone: (570) 484-2878
Fax: (750) 484-2200
Street-level locationGet directions
Mailing address
401 N Fairview St
Lock Haven, PA 17745-2342
Registry dates
- Enumerated
- 2011-12-14
- Last updated
- 2011-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.