IndividualActive
Stacey Kisil, ATC, CAT(C), CSCS
NPI 1780239806 · Athletic Trainer · Athens, GA
Provider details
- NPI number
- 1780239806
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, CAT(C), CSCS
- Sex
- Female
- Sole proprietor
- Yes
- License
- AHY-881471003 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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 Smith St
Athens, GA 30602-1505
Phone: (706) 296-2765
Street-level locationGet directions
Mailing address
1188 Garden Road
Mississauga, ONTARIO 536
Registry dates
- Enumerated
- 2019-08-06
- Last updated
- 2019-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.