IndividualActive
Steven Staab, LAT, PES-NASM
NPI 1679638746 · Athletic Trainer · Waukesha, WI
Provider details
- NPI number
- 1679638746
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, PES-NASM
- Sex
- Male
- Sole proprietor
- No
- License
- 631-039 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
100 N East Ave
Van Male Training Room
Waukesha, WI 53186-3103
Phone: (262) 524-7379
Fax: (262) 524-7376
Street-level locationGet directions
Mailing address
2012 Cliff Alex Ct S Unit D
Waukesha, WI 53189-2127
Registry dates
- Enumerated
- 2006-12-27
- 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.