IndividualActive
Justin Chapman, ATC,LAT
NPI 1477234136 · Athletic Trainer · Idaho Falls, ID
Provider details
- NPI number
- 1477234136
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC,LAT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
3165 E Iona Rd
Idaho Falls, ID 83401-1350
Phone: (208) 932-3175
Street-level locationGet directions
Mailing address
1900 Parkwood St Apt C205
Idaho Falls, ID 83401-6122
Registry dates
- Enumerated
- 2023-07-26
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.