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KRISTIN LEEANN WILSON ATC, LAT
NPI 1336652080
Specialist/Technologist - Athletic Trainer in Fort Drum, NY

Active since November 15, 2017
10529 S RIVA RIDGE LOOP, FORT DRUM, NY 13602(325) 650-6489(325) 650-6489 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2025, Dec 19, 2025, Nov 15, 2017 (3 updates tracked since 2017).

About Kristin Leeann Wilson Atc, Lat NPPES

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

KRISTIN LEEANN WILSON ATC, LAT (NPI 1336652080) is an individual athletic trainer provider in Fort Drum, New York, licensed in New York (004899) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1336652080
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKRISTIN LEEANN WILSONCredential: ATC, LAT
Location Address10529 S RIVA RIDGE LOOPFort Drum, NY 13602
Mailing Address99068 Mountain View Dr Unit AFort Drum, NY 13603-3612 · (325) 650-6489
Phone(325) 650-6489
Fax(325) 650-6489
Sole ProprietorNo
Enumeration DateNovember 15, 2017
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1336652080 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
Licenses✔ Licensed in NY · 004899✔ Licensed in TX · 6857
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.
10529 S RIVA RIDGE LOOP, Fort Drum, NY 13602
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Other Providers at the Same Location NPPES

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

BENJAMIN ROBERT KOSTEVA ATC
Specialist/Technologist (Athletic Trainer)
10529 S RIVA RIDGE LOOP
FORT DRUM, NY 13602
Jefferson County (315) 774-8155

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 Kristin Wilson's NPI number?

The NPI number for Kristin Wilson is 1336652080. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Where is Kristin Wilson located?

Kristin Wilson practices at 10529 S Riva Ridge Loop, Fort Drum, NY 13602. The listed phone number is (325) 650-6489.

What is Kristin 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 Kristin Wilson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.