Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Michael Tyler Wilson, ATC, LAT
Athletic Trainer in Fayette, MO · enumerated 2016.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1053864306
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Registry record
Entity type Individual (Type 1)
Name Michael Tyler Wilson
Credential ATC, LAT
Sex Male
Practice address 411 Central Methodist Sq, Fayette, MO, 65248
Phone (636) 577-5062
Enumeration date Aug 3, 2016
Last updated in NPPES Aug 3, 2016
Taxonomy & licenses
2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2016023484 (MO) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Michael Wilson?
The National Provider Identifier (NPI) for Michael Wilson is 1053864306, a Type 1 (individual) record in the CMS NPPES registry.
Where does Michael Wilson practice?
The practice location on file with NPPES is in Fayette, MO. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Rick Sage Athletic Trainer · Fayette, MO NPI 1952399776 Wade Welton Athletic Trainer · Fayette, MO NPI 1356559348 Teresa Kircher Student in an Organized Health Care Education/Training Program · Fayette, MO NPI 1174796171 Andrea Pratte Athletic Trainer · Fayette, MO NPI 1295902138 Central Methodist University Sports Medicine/Athletic Training Athletic Trainer · Fayette, MO NPI 1558503433 Mary Collins Athletic Trainer · Fayette, MO NPI 1124396288 Central Methodist Univeristy Rehabilitation Clinic/Center · Fayette, MO NPI 1053680272 Alanna Dennison Athletic Trainer · Fayette, MO NPI 1013370618
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-03.