IndividualActive
Doosan Park
NPI 1568914273 · Athletic Trainer · Dover, DE
Provider details
- NPI number
- 1568914273
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- J3-0000634 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
240 Beiser Blvd
Suite 202
Dover, DE 19904-8208
Phone: (302) 734-0300
Street-level locationGet directions
Mailing address
1300 S Farmview Dr
Dover, DE 19904-3374
Registry dates
- Enumerated
- 2016-10-28
- Last updated
- 2016-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.