IndividualActive
Justin Nadeau, ATC, LAT
NPI 1669971370 · Athletic Trainer · Grand Prairie, TX
Provider details
- NPI number
- 1669971370
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 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
83% 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
2880 N State Highway 360
Grand Prairie, TX 75050-6411
Phone: (210) 835-8245
Street-level locationGet directions
Mailing address
3820 Vitruvian Way Apt 328
Addison, TX 75001-4050
Registry dates
- Enumerated
- 2018-02-08
- Last updated
- 2018-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.