Austin Wyss, ATC/LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001599A Issued in IN

Practice address

11130 Parkview Circle Drive
Ft. Wayne, IN 46845

Phone

(260) 385-6292

NPI assigned

Mar 24, 2016

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1467814939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 PARKVIEW CIRCLE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451735",
            "telephone_number": "260-385-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 PARKVIEW CIRCLE DRIVE",
            "city": "FT. WAYNE",
            "state": "IN",
            "postal_code": "46845",
            "telephone_number": "260-385-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSS",
        "first_name": "AUSTIN",
        "credential": "ATC/LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001599A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karah Wynn, MSW, LCSW, PMH-C
• Nikki Mo Wynn, M.D.
• Rita A. Wynn, LCSW
• Katrina Anita Wyse, M.D.
• David K Wysong, DPM
• Darcy Rose Wyss, FNP-C
• Jean Marie Wyss
• Jessica R Wyss, NP
• Peter Xavier, RPT
• Sasikala Xavier

• Athletic Trainer in Ft. Wayne, IN
• Providers in Ft. Wayne, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.