Ebony Rose, MS, LAT, ATC
NPI 1710441951 · Athletic Trainer · Fort Polk, LA
Ebony Rose, MS, LAT, ATC is a Athletic Trainer provider in Fort Polk, LA (NPI 1710441951).
Provider details
- NPI number
- 1710441951
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- AT8123 (TX)
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 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 (3)
- 340 Mississippi St SeNorth Canton, OH 44720-3608Phone: (210) 623-0303
- 124 Hinge ChaseCibolo, TX 78108-3375Phone: (210) 623-0303
- 80 Bowers BlvdHuntsville, TX 77341-0001Phone: (936) 294-1111
Registry dates
- Enumerated
- 2019-01-22
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Frequently asked questions
- What is Ebony Rose's NPI number?
- Ebony Rose's National Provider Identifier (NPI) is 1710441951, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Rose's specialty?
- Ebony Rose is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ebony Rose located?
- Ebony Rose's practice location on file with NPPES is 1585 3rd St, Fort Polk, LA 71459-5102.
- What is Ebony Rose's phone number?
- The practice phone number listed in the NPPES registry for Ebony Rose is (337) 531-3011.
- Is Ebony Rose's NPI active?
- Yes — Ebony Rose's NPI (1710441951) is active in the NPPES registry as of the last update on 2022-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.