IndividualActive
Bryan Booth, ATC
NPI 1619487501 · Athletic Trainer · Palm Desert, CA
Provider details
- NPI number
- 1619487501
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2000026488 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
74910 Aztec Rd
Palm Desert, CA 92260-3101
Phone: (916) 880-8858
Approximate (ZIP-level) locationGet directions
Mailing address
80123 Queensboro Dr
Indio, CA 92201-0523
Registry dates
- Enumerated
- 2017-10-04
- Last updated
- 2017-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.