IndividualActive
Brian Fanning, MS, ACI, ATC
NPI 1669701264 · Athletic Trainer · Hackettstown, NJ
Provider details
- NPI number
- 1669701264
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ACI, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MT00122800 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
22 Wood Duck Ct
Hackettstown, NJ 07840-3312
Phone: (973) 229-6280
Fax: (973) 353-1431
Street-level locationGet directions
Mailing address
22 Wood Duck Ct
Hackettstown, NJ 07840-3312
Registry dates
- Enumerated
- 2009-12-11
- Last updated
- 2009-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.