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W MICHAEL PETTY ATC, LAT
NPI 1518098490
Specialist/Technologist - Athletic Trainer in Homer Glen, IL

Active since March 09, 2007
14330 S HEATHERWOOD DR, HOMER GLEN, IL 60491(708) 301-7567 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About W Michael Petty Atc, Lat NPPES

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

W MICHAEL PETTY ATC, LAT (NPI 1518098490) is an individual athletic trainer provider in Homer Glen, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1518098490
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameW MICHAEL PETTYCredential: ATC, LAT
Location Address14330 S HEATHERWOOD DRHomer Glen, IL 60491-9144
Mailing Address14330 S Heatherwood DrHomer Glen, IL 60491-9144 · (708) 301-7567
Phone(708) 301-7567
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518098490 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.
14330 S HEATHERWOOD DR, Homer Glen, IL 60491
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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 W Petty's NPI number?

The NPI number for W Petty is 1518098490. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is W Petty located?

W Petty practices at 14330 S Heatherwood Dr, Homer Glen, IL 60491. The listed phone number is (708) 301-7567.

What is W Petty'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 W Petty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.