Active NPI
Caitlynn Marianne Wynia, ATC, LAT
- Athletic Trainer
- Montevallo, AL
National Provider Identifier
1649922337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2800
- Practice address
- 75 College Dr
Montevallo, AL 35115-3732 - Phone
- (205) 665-6000
- NPI assigned
- Jan 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2800 | AL | Primary |
Addresses
Primary practice location
75 College Dr
Montevallo, AL 35115-3732
Mailing address
829 Daventry LN
Calera, AL 35040-4931
Phone (605) 786-4765
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2800 | AL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1649922337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 DAVENTRY LN",
"city": "CALERA",
"state": "AL",
"postal_code": "350404931",
"telephone_number": "605-786-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 COLLEGE DR",
"city": "MONTEVALLO",
"state": "AL",
"postal_code": "351153732",
"telephone_number": "205-665-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNIA",
"first_name": "CAITLYNN",
"middle_name": "MARIANNE",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montevallo, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.