IndividualActive
Thane Halstead, ATC
NPI 1629047568 · Athletic Trainer · Aurora, IL
Provider details
- NPI number
- 1629047568
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- License
- 096-0000388 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1201 W New York St
Aurora, IL 60506-3667
Phone: (630) 301-6629
Street-level locationGet directions
Mailing address
2503 N Washtenaw Ave
Chicago, IL 60647-1815
Registry dates
- Enumerated
- 2006-03-14
- 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.