Bryan Domitrz, ATC, LAT
NPI 1871186304 · Athletic Trainer · Normal, IL
Bryan Domitrz, ATC, LAT is a Athletic Trainer provider in Normal, IL (NPI 1871186304).
Provider details
- NPI number
- 1871186304
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 096.004969 (IL)
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
5 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
- 2021-02-16
- Last updated
- 2021-02-16
- Certified
- 2021-02-16
Frequently asked questions
- What is Bryan Domitrz's NPI number?
- Bryan Domitrz's National Provider Identifier (NPI) is 1871186304, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Domitrz's specialty?
- Bryan Domitrz is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bryan Domitrz located?
- Bryan Domitrz's practice location on file with NPPES is 501 N Parkside Rd, Normal, IL 61761-2780.
- What is Bryan Domitrz's phone number?
- The practice phone number listed in the NPPES registry for Bryan Domitrz is (309) 557-4402.
- Is Bryan Domitrz's NPI active?
- Yes — Bryan Domitrz's NPI (1871186304) is active in the NPPES registry as of the last update on 2021-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.