IndividualActive
John Edgar, ATC
NPI 1699506345 · Athletic Trainer · Troy, IL
Provider details
- NPI number
- 1699506345
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 096001024 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 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
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
703 E US Highway 40
Troy, IL 62294-2210
Phone: (618) 667-8851
Street-level locationGet directions
Mailing address
327 Benedictine Ct
O Fallon, IL 62269-3580
Registry dates
- Enumerated
- 2024-08-13
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.