Individual provider Active NPI

John A Wator, ATC

  • Athletic Trainer
  • Orland Park, IL
National Provider Identifier
1801864111
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
96000061 Issued in IL
Practice address
18219 Clear Creek Xing
Orland Park, IL 60467-5238
Phone
(708) 479-9284
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 96000061 IL Primary

Addresses

Primary practice location

18219 Clear Creek Xing
Orland Park, IL 60467-5238

Mailing address

18219 Clear Creek Xing
Orland Park, IL 60467-5238
Phone (708) 479-9284

Other names 1

  • John A Wator Professional name

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

LicenseStateTypeSpecialty
96000061ILMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801864111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18219 CLEAR CREEK XING",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675238",
            "telephone_number": "708-479-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18219 CLEAR CREEK XING",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675238",
            "telephone_number": "708-479-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATOR",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "96000061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "WATOR",
            "middle_name": "A",
            "credential": "ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.