Gary Premo, ATC
NPI 1710113105 · Athletic Trainer · Waupaca, WI
Gary Premo, ATC is a Athletic Trainer provider in Waupaca, WI (NPI 1710113105).
Provider details
- NPI number
- 1710113105
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 979-039 (WI)
Specialties & taxonomies
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
17 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
Mailing address
Registry dates
- Enumerated
- 2009-05-31
- Last updated
- 2009-05-31
Frequently asked questions
- What is Gary Premo's NPI number?
- Gary Premo's National Provider Identifier (NPI) is 1710113105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Premo's specialty?
- Gary Premo is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Gary Premo located?
- Gary Premo's practice location on file with NPPES is 800 Riverside Dr, Waupaca, WI 54981-1943.
- What is Gary Premo's phone number?
- The practice phone number listed in the NPPES registry for Gary Premo is (715) 258-1053.
- Is Gary Premo's NPI active?
- Yes — Gary Premo's NPI (1710113105) is active in the NPPES registry as of the last update on 2009-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.