Individual provider Active NPI

Benjamin Joseph Wimmer, NSCA-CSCS, AT, ATC

  • Athletic Trainer
  • Cincinnati, OH
National Provider Identifier
1295221406
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
5701 Delhi Rd
Cincinnati, OH 45233-1669
Phone
(513) 244-4875
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Athletic Trainer 2255A2300X OH Primary

Addresses

Primary practice location

5701 Delhi Rd
Cincinnati, OH 45233-1669

Mailing address

3310 Kleeman Lake CT
Cincinnati, OH 45211-2291
Phone (513) 646-5949

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

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1295221406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 KLEEMAN LAKE CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452112291",
            "telephone_number": "513-646-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 DELHI RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452331669",
            "telephone_number": "513-244-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "credential": "NSCA-CSCS, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.