Active NPI
Haley Ruth Wilton, MS, LAT, ATC
- Athletic Trainer
- White Plains, NY
National Provider Identifier
1578383733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 004936
- Practice address
- 785 Mamaroneck Ave
White Plains, NY 10605-2523 - Phone
- (914) 597-2500
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 004936 | NY | Primary |
Addresses
Primary practice location
785 Mamaroneck Ave
White Plains, NY 10605-2523
Mailing address
49 Wedgewood Dr
Goshen, NY 10924-2530
Other practice location 1
950 Mamaroneck Ave
White Plains, NY 10605-3526
Phone (914) 946-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004936 | Other | NY | NYSEDOP |
| 2000058250 | Other | BOC |
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1578383733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WEDGEWOOD DR",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109242530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 MAMARONECK AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052523",
"telephone_number": "914-597-2500"
}
],
"practiceLocations": [
{
"address_1": "950 Mamaroneck Ave",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106053526",
"country_code": "US",
"telephone_number": "914-946-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILTON",
"first_name": "HALEY",
"middle_name": "RUTH",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-14",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "004936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYSEDOP",
"identifier": "004936",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "2000058250",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.