IndividualActive
Mikayla Moyer, LAT, ATC
NPI 1639638133 · Athletic Trainer · Forest City, IA
Provider details
- NPI number
- 1639638133
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
210 Bob Johnson Dr Apt 200
Forest City, IA 50436-2204
Phone: (319) 540-5904
Street-level locationGet directions
Mailing address
500 Fairfax Rd
Fairfax, IA 52228-9704
Additional practice locations (1)
- 500 Fairfax RdFairfax, IA 52228-9704Phone: (319) 540-5904
Registry dates
- Enumerated
- 2019-03-14
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.