1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Specialist Technologist
  6. NPI Profile

ETHAN WILSON
NPI 1174404214
Specialist/Technologist - Athletic Trainer in Louisville, KY

Active since September 08, 2025
901 S 4TH ST, LOUISVILLE, KY 40203(502) 585-9911 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN WILSON (NPI 1174404214) is an individual athletic trainer provider in Louisville, Kentucky and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1174404214
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameETHAN WILSON
Location Address901 S 4TH STLouisville, KY 40203-2188
Mailing Address11306 Cottage View CtLouisville, KY 40299-4393
Phone(502) 585-9911
Sole ProprietorNo
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1174404214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
901 S 4TH ST, Louisville, KY 40203
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISTY LEE ROBERTS
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 873-4482
MISS ALLYSON MARIE SCHUM
Specialist/Technologist (Athletic Trainer)
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 294-4988
BRITTANY RENAE ELAM
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 585-9911
HEATHER PARIS
Registered Nurse
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 389-2584
TRISTA GRACE YATES
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 585-9911
HALEIGH GREGORY
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 585-9911
MS. BRANDI NICOLE BRYANT BA
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 873-4476
QUANESHA MCGOWAN
Student in an Organized Health Care Education/Training Program
901 S 4TH ST
LOUISVILLE, KY 40203
Jefferson County (502) 802-0984

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Wilson's NPI number?

The NPI number for Ethan Wilson is 1174404214. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Ethan Wilson located?

Ethan Wilson practices at 901 S 4th St, Louisville, KY 40203. The listed phone number is (502) 585-9911.

What is Ethan Wilson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Ethan Wilson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.