Active NPI
Casey Wilson, ATC
- Athletic Trainer
- Joint Base Lewis McChord, WA
National Provider Identifier
1811471444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A161326275
- Practice address
- 9040A Jackson Ave Unit A202
Joint Base Lewis McChord, WA 98431-1235 - Phone
- (253) 988-4550
- NPI assigned
- Sep 19, 2018
- Sex
- Male
- 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 | A161326275 | WA | Primary |
Addresses
Primary practice location
9040A Jackson Ave Unit A202
Joint Base Lewis McChord, WA 98431-1235
Mailing address
S Division St
Fort Lewis, WA 98433
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 |
|---|---|---|---|
| A161326275 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1811471444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S DIVISION ST",
"city": "FORT LEWIS",
"state": "WA",
"postal_code": "98433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040A JACKSON AVE UNIT A202",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311235",
"telephone_number": "253-988-4550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CASEY",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-19",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A161326275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.