Active NPI
Wendy Ni, LAT, ATC, EMT
- Athletic Trainer
- Canton, MA
National Provider Identifier
1194536011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATL23056
- Practice address
- 65 Foundry LN
Canton, MA 02021-2589 - Phone
- (781) 491-2207
- NPI assigned
- Jan 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 8051-1614-4536 | PA | |
| Athletic Trainer | 2255A2300X | ATL23056 | MA | Primary |
Addresses
Primary practice location
65 Foundry LN
Canton, MA 02021-2589
Mailing address
65 Foundry LN
Canton, MA 02021-2589
Phone (781) 491-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8051-1614-4536 | PA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1194536011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 FOUNDRY LN",
"city": "CANTON",
"state": "MA",
"postal_code": "020212589",
"telephone_number": "781-491-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 FOUNDRY LN",
"city": "CANTON",
"state": "MA",
"postal_code": "020212589",
"telephone_number": "781-491-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NI",
"first_name": "WENDY",
"credential": "LAT, ATC, EMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "PA",
"license": "8051-1614-4536",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "ATL23056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.