WILSON MATTHEW MCKNIGHT (NPI# 1063949691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063949691 |
| Entity Type | Individual |
| Full Name | WILSON MATTHEW MCKNIGHT |
| Credential | ATC |
| Practice Address |
1164 Main Street Vilonia AR 72173-7217 |
| Mailing Address |
14 Kimberly Drive Vilonia AR 72173 |
| Practice Telephone | 5014724442 |
| Practice Fax Number | 5014724442 |
| Mailing Telephone | 5014724442 |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
677 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Club Lane, 550 Club Lane, Conway, AR 72034 | 5013291510 |
| Street Address |
1164 MAIN STREET |
| City | VILONIA |
| State | AR |
| Zip Code | 72173-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265693923 | Emily Mccarron | Occupational Therapist | 1164 Main Street, Vilonia, AR 72173 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831671908 | Michael S Palese | Physical Therapist | 1070 Main Street, Vilonia, AR 72173 | 2018-09-05 |
| 1902191968 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 10 Eagle Street, Vilonia, AR 72173 | 2011-06-17 |
| 1407060510 | Melissa Lynn Brewer | Speech-Language Pathologist | 10 Ridgewood Lp., Vilonia, AR 72173 | 2007-05-09 |
| 1710072277 | Brian Lane | Dentist | 17 Eagle Park, Vilonia, AR 72173 | 2006-10-03 |
| 1215030374 | Tracy Taylor | Counselor | 11eagle Dr., Vilonia, AR 72173 | 2006-09-06 |
| 1326096579 | Vilonia Chiropractic | Chiropractor | 1122 Main, Ste 4, Vilonia, AR 72173 | 2006-05-04 |
| 1750349858 | Charles Wesley Himmler | Family Medicine | 1159 Main Street, Vilonia, AR 72173 | 2006-05-01 |
| 1447760392 | Vts Inc | Occupational Therapist | 1070 Main St, Vilonia, AR 72173 | 2017-10-05 |
| 1093192338 | Crystal L. Hart | Counselor | 1112 Main St, Vilonia, AR 72173 | 2015-05-06 |
| 1548657406 | Brian Michael Bowlin | Family Medicine | 1159 Main St, Vilonia, AR 72173 | 2015-04-18 |
| Find all providers in zip 72173 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953533 | Sierra Paige Marsh | Specialist/Technologist | 909 S Booth Rd, Searcy, AR 72143-9354 | 2020-08-19 |
| 1912518119 | Kayla Johnson | Specialist/Technologist | 410 Ouachita St Rm 202, Arkadelphia, AR 71998-0001 | 2020-08-11 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1013538925 | Josh Dyre Lammers | Specialist/Technologist | 163h E Hwy 18, Blytheville, AR 72315-8937 | 2020-05-01 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1093336323 | Nick Lee Haywood | Specialist/Technologist | 1900 Mcnatt Dr Apt 16, Brookland, AR 72417-9024 | 2020-04-28 |
| 1780205195 | Tayler Estrada | Specialist/Technologist | 113 Nw Yukon Trail St, Bentonville, AR 72712-5013 | 2020-04-27 |
| 1619502531 | Angelina Marconi | Specialist/Technologist | 410 Charleston Cv, Marion, AR 72364-2673 | 2020-03-11 |
| 1508496191 | Savannah Deann Hart | Specialist/Technologist | 265 County Road 2168, Hartman, AR 72840-8809 | 2020-01-22 |
| 1144850967 | Victoria Lynn Rollins | Specialist/Technologist | 8 Christopher Dr, Sherwood, AR 72120-4010 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.