MR. ALAN WILLIAM WALLACE ATC, CSCS, PES
NPI 1902271869
Specialist/Technologist - Athletic Trainer in Columbus, OH

Active since December 03, 2015
2281 ANTIGUA DR, APT. 1C, COLUMBUS, OH 43235(412) 638-7071 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About ALAN WALLACE

This page provides the complete NPI Profile along with additional information for Alan Wallace, a provider established in Columbus, Ohio with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1902271869 assigned on December 2015. The practitioner's primary taxonomy code is 2255A2300X with license number AT-4473 (OH). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1902271869 Verify this NPI
Provider Name
MR. ALAN WILLIAM WALLACE ATC, CSCS, PES
Gender
Male
Entity Type
Individual
Location Address
2281 ANTIGUA DR APT. 1C COLUMBUS, OH 43235
Location Phone
(412) 638-7071
Mailing Address
2281 ANTIGUA DR APT. 1C COLUMBUS, OH 43235
Mailing Phone
(412) 638-7071
Is Sole Proprietor?
Yes
Enumeration Date
12-03-2015
Last Update Date
12-03-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
AT-4473
License State
OH
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902271869, enumerated as an "individual" on December 03, 2015.

The provider is located at 2281 ANTIGUA DR APT. 1C COLUMBUS, OH 43235 and the phone number is (412) 638-7071.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.