Patricia Moen, M.S., ATC
NPI 1689638066 · Athletic Trainer · Blaine, MN
Provider details
- NPI number
- 1689638066
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.S., ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 096-001286 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
Mailing address
Additional practice locations (2)
- 1525 West Lincoln HighwayConvocation Center at Northern Illinois UniversityDekalb, IL 60115Phone: (815) 753-9477
- 11850 Blackfoot St NwMinneapolis, MN 55433-2578Phone: (952) 946-9777
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2022-12-02
- Certified
- 2022-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.