Individual provider Active NPI

Paul Alan Wheeler III, MS, ATC, LAT, CES

  • Athletic Trainer
  • Scottsdale, AZ
National Provider Identifier
1851716237
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
ATR-000980 Issued in AZ
Practice address
6935 E Gold Dust Ave
Scottsdale, AZ 85253-1447
Phone
(480) 484-6500
NPI assigned
Feb 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 ATR-000980 AZ Primary

Addresses

Primary practice location

6935 E Gold Dust Ave
Scottsdale, AZ 85253-1447

Mailing address

1219 E Kerry LN
Phoenix, AZ 85024-2344
Phone (602) 290-2795

Other practice location 1

8630 E Via De Ventura Ste 101
Scottsdale, AZ 85258-3340
Phone (480) 484-6566

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

State licenses

LicenseStateTypeSpecialty
ATR-000980AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1851716237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 E KERRY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850242344",
            "telephone_number": "602-290-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6935 E GOLD DUST AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852531447",
            "telephone_number": "480-484-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8630 E Via De Ventura Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852583340",
            "country_code": "US",
            "telephone_number": "480-484-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MS, ATC, LAT, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-000980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.