IndividualActive
Paul Widner, ATC, LAT
NPI 1407178577 · Athletic Trainer · Nappanee, IN
Provider details
- NPI number
- 1407178577
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36000256A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
2101 N Main St
Nappanee, IN 46550-9310
Phone: (574) 773-4127
Fax: (574) 773-4099
Street-level locationGet directions
Mailing address
2101 N Main St
Nappanee, IN 46550-9310
Registry dates
- Enumerated
- 2010-02-17
- Last updated
- 2010-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.