IndividualActive
Kyle Johnson, ATC
NPI 1528070539 · Athletic Trainer · Springfield, IL
Provider details
- NPI number
- 1528070539
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
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
19 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
320 E Carpenter St
1-B
Springfield, IL 62702-5185
Phone: (217) 744-8000
Fax: (217) 744-8004
Street-level locationGet directions
Mailing address
6660 Kodiak Rd
Riverton, IL 62561-6017
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.