IndividualActive
Anthony Fitzpatrick, LAT, ATC
NPI 1780613125 · Athletic Trainer · Boise, ID
Provider details
- NPI number
- 1780613125
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT035 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
701 E Boise Ave
Boise, ID 83706-5119
Phone: (208) 854-6230
Fax: (208) 854-6232
Street-level locationGet directions
Mailing address
3915 E Wormwood Ct
Boise, ID 83716-6938
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.