IndividualActive
Katelon Pernell, MAT, ATC
NPI 1487338752 · Athletic Trainer · Jackson, AL
Provider details
- NPI number
- 1487338752
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 2000058253 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
120 Murphy St
Jackson, AL 36545-3408
Phone: (251) 589-8111
Street-level locationGet directions
Mailing address
120 Murphy St
Jackson, AL 36545-3408
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.