IndividualActive
Kendall Mikkelsen, MS, LAT, ATC
NPI 1992401640 · Athletic Trainer · Ashburn, VA
Provider details
- NPI number
- 1992401640
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 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
19790 Ashburn Rd
Ashburn, VA 20147-5636
Phone: (571) 209-5500
Street-level locationGet directions
Mailing address
11795 Antietam Rd
Woodbridge, VA 22192-1214
Additional practice locations (1)
- 4400 University DrFairfax, VA 22030-4422Phone: (703) 993-1000
Registry dates
- Enumerated
- 2023-02-03
- Last updated
- 2023-08-18
- Certified
- 2023-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.