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BENJAMIN MICHAEL WILDMAN MAT, ATC
NPI 1487155420
Specialist/Technologist - Athletic Trainer in Maplewood, MO

Active since February 26, 2018
31 SUNNEN DR APT 345, MAPLEWOOD, MO 63143(847) 902-8604 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2018, Feb 26, 2018 (2 updates tracked since 2018).

About Benjamin Michael Wildman Mat, Atc NPPES

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

BENJAMIN MICHAEL WILDMAN MAT, ATC (NPI 1487155420) is an individual athletic trainer provider in Maplewood, Missouri, licensed in Missouri (2018024534) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1487155420
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBENJAMIN MICHAEL WILDMANCredential: MAT, ATC
Location Address31 SUNNEN DR APT 345Maplewood, MO 63143-3828
Mailing Address31 Sunnen Dr Apt 345Maplewood, MO 63143-3828 · (847) 902-8604
Phone(847) 902-8604
Sole ProprietorYes
Enumeration DateFebruary 26, 2018
Last NPPES UpdateNovember 2, 20182 updates tracked since enumeration
✔ NPI 1487155420 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 MO · 2018024534
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.
31 SUNNEN DR APT 345, Maplewood, MO 63143
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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 Wildman's NPI number?

The NPI number for Benjamin Wildman is 1487155420. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Where is Benjamin Wildman located?

Benjamin Wildman practices at 31 Sunnen Dr Apt 345, Maplewood, MO 63143. The listed phone number is (847) 902-8604.

What is Benjamin Wildman'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 Wildman was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.