Michael Wilson, ATC, LAT
NPI 1053864306 · Athletic Trainer · Fayette, MO
Michael Wilson, ATC, LAT is a Athletic Trainer provider in Fayette, MO (NPI 1053864306).
Provider details
- NPI number
- 1053864306
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- License
- 2016023484 (MO)
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
9 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
- 2016-08-03
- Last updated
- 2016-08-03
Frequently asked questions
- What is Michael Wilson's NPI number?
- Michael Wilson's National Provider Identifier (NPI) is 1053864306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wilson's specialty?
- Michael Wilson is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Michael Wilson located?
- Michael Wilson's practice location on file with NPPES is 411 Central Methodist Sq, Fayette, MO 65248-1104.
- What is Michael Wilson's phone number?
- The practice phone number listed in the NPPES registry for Michael Wilson is (636) 577-5062.
- Is Michael Wilson's NPI active?
- Yes — Michael Wilson's NPI (1053864306) is active in the NPPES registry as of the last update on 2016-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.