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MR. ROBERT WALLER MS, ATC, LAT, NASM
NPI 1831494525
Specialist/Technologist - Athletic Trainer in Albuquerque, NM

Active since January 11, 2011
10651 WILSHIRE AVE NE, ALBUQUERQUE, NM 87122(307) 766-2323 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, Jul 24, 2023, Jun 13, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Robert Waller Ms, Atc, Lat, Nasm NPPES

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

MR. ROBERT WALLER MS, ATC, LAT, NASM (NPI 1831494525) is an individual athletic trainer provider in Albuquerque, New Mexico, licensed in New Mexico (590) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1831494525
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. ROBERT WALLERCredential: MS, ATC, LAT, NASM
Location Address10651 WILSHIRE AVE NEAlbuquerque, NM 87122-3160
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(307) 766-2323
Sole ProprietorYes
Enumeration DateJanuary 11, 2011
Last NPPES UpdateAugust 7, 20254 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1831494525 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 NM · 590
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.
10651 WILSHIRE AVE NE, Albuquerque, NM 87122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Robert Waller's NPI number?

The NPI number for Robert Waller is 1831494525. It was assigned to this individual provider in the NPPES registry on January 11, 2011.

Where is Robert Waller located?

Robert Waller practices at 10651 Wilshire Ave NE, Albuquerque, NM 87122. The listed phone number is (307) 766-2323.

What is Robert Waller'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 Robert Waller was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.