IndividualActive
Richard Vicenzi, ATHLETIC TRAINER
NPI 1841447026 · Respiratory/Developmental/Rehabilitative Specialist/Technologist · Herrin, IL
Provider details
- NPI number
- 1841447026
- Entity type
- Individual
- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATHLETIC TRAINER
- Sex
- Male
- Sole proprietor
- No
- License
- 096000258 (IL)
Specialties & taxonomies
- Respiratory/Developmental/Rehabilitative Specialist/TechnologistPrimary225500000XLicense 096000258 (IL)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
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
510 Lincoln Drive
Herrin, IL 62948
Phone: (618) 997-6800
Fax: (618) 998-9635
Street-level locationGet directions
Mailing address
510 Lincoln Drive
Herrin, IL 62948
Registry dates
- Enumerated
- 2008-08-19
- Last updated
- 2008-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.