IndividualActive
Nicole Bonacorso
NPI 1679303648 · Athletic Trainer · Ann Arbor, MI
Provider details
- NPI number
- 1679303648
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1200 S State St
Ann Arbor, MI 48109-2203
Phone: (408) 761-6632
Street-level locationGet directions
Mailing address
230 Boarman St
Jackson, CA 95642-2510
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.