Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. BENJAMIN L WIDDER ATC
NPI 1174597603
Specialist/Technologist - Athletic Trainer in Boiling Springs, PA

Q: What is Benjamin Widder's NPI number?

The NPI number for Benjamin Widder is 1174597603. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Benjamin Widder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Benjamin Widder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since February 13, 2006

4 FORGE RD, BOILING SPRINGS, PA 17007(717) 258-6484 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Benjamin L Widder Atc NPPES

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

MR. BENJAMIN L WIDDER ATC (NPI 1174597603) is an individual athletic trainer provider in Boiling Springs, Pennsylvania, licensed in Pennsylvania (RT000941A) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1174597603

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. BENJAMIN L WIDDERCredential: ATC

Location Address4 FORGE RDBoiling Springs, PA 17007-9444

Mailing Address293 Kauffman Rd EChambersburg, PA 17201-9247

Phone(717) 258-6484

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1174597603 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

License✔ Licensed in PA · RT000941A

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.

4 FORGE RD, Boiling Springs, PA 17007

Open in Google Maps ↗

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 Benjamin Widder's NPI number?

The NPI number for Benjamin Widder is 1174597603. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Benjamin Widder located?

Benjamin Widder practices at 4 Forge Rd, Boiling Springs, PA 17007. The listed phone number is (717) 258-6484.

What is Benjamin Widder'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 Benjamin Widder was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.