Matthew Smitley, DAT, LAT, ATC
NPI 1588075121 · Athletic Trainer · Moscow, ID
Provider details
- NPI number
- 1588075121
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DAT, LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- LAT-2518 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 320 Opal Brook DrElizabethton, TN 37643-7462Phone: (805) 588-6929
Registry dates
- Enumerated
- 2014-05-16
- Last updated
- 2020-09-02
- Certified
- 2020-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.