Raymond Wilson, ATC, LAT
NPI 1154783082 · Athletic Trainer · Fort Wayne, IN
Raymond Wilson, ATC, LAT is a Athletic Trainer provider in Fort Wayne, IN (NPI 1154783082).
Provider details
- NPI number
- 1154783082
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36002467A (IN)
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
10 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
- 2016-03-21
- Last updated
- 2016-03-21
Frequently asked questions
- What is Raymond Wilson's NPI number?
- Raymond Wilson's National Provider Identifier (NPI) is 1154783082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raymond Wilson's specialty?
- Raymond Wilson is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Raymond Wilson located?
- Raymond Wilson's practice location on file with NPPES is 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735.
- What is Raymond Wilson's phone number?
- The practice phone number listed in the NPPES registry for Raymond Wilson is (765) 860-5307.
- Is Raymond Wilson's NPI active?
- Yes — Raymond Wilson's NPI (1154783082) is active in the NPPES registry as of the last update on 2016-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.