Provider Type Icon

BENJAMIN MICHAEL WILDMAN MAT ATC NPI 1487155420


NPI Information

NPI: 1487155420
Provider Name: BENJAMIN MICHAEL WILDMAN, MAT, ATC
Classification: Specialist/Technologist - 2255A2300X
Entity Type: Individual

Specialization: Athletic Trainer

Address:
31 SUNNEN DR APT 345
MAPLEWOOD, MO
ZIP 63143
Phone: (847) 902-8604
Get Directions

Benjamin Michael Wildman, MAT, ATC is an athletic trainer specialist technologist in Maplewood, MO. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Benjamin Michael Wildman, MAT, ATC NPI is 1487155420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31 SUNNEN DR APT 345
MAPLEWOOD, MO
ZIP 63143-828
Phone: (847) 902-8604

The enumeration date for this NPI number is 2/26/2018 and was last updated on 11/2/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic Trainer2018024534MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.