Wilson Matthew McKnight, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

677 Issued in AR

Practice address

1164 Main Street
Vilonia, AR 72173-7217

Phone

(501) 472-4442

Fax

(501) 472-4442

NPI assigned

May 14, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063949691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KIMBERLY DRIVE",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "72173",
            "telephone_number": "501-472-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 MAIN STREET",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721737217",
            "telephone_number": "501-472-4442",
            "fax_number": "501-472-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Club Lane",
            "address_2": "550 Club Lane",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "72034",
            "country_code": "US",
            "telephone_number": "501-329-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "WILSON",
        "middle_name": "MATTHEW",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marsden, LCSW
• Kyla Renee McCain, PHARM.D
• Emily McCarron, OTR/L
• McCray Medical Supplies & Services (mccray medical supplies and services)
• Rachel McKnight
• Naomi McMillan
• Gina Lenore McNew, M.D.
• Kelly Elizabeth McNinch, RPH
• Maree Leigh Nichols, APRN
• Our Little Feats LLC

• Athletic Trainer in Vilonia, AR
• Providers in Vilonia, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.