Active NPI
Michael Stephenson
- Athletic Trainer
- Milwaukee, WI
National Provider Identifier
1932042991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 325839
- Practice address
- 1512 E Irving PL
Milwaukee, WI 53202-1018 - Phone
- (608) 669-6302
- NPI assigned
- Apr 13, 2026
- Sex
- Unspecified or another gender identity
- 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 | 325839 | WI | Primary |
Addresses
Primary practice location
1512 E Irving PL
Milwaukee, WI 53202-1018
Mailing address
1512Eirvingpl
Milwaukee, WI 53202
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 |
|---|---|---|---|
| 325839 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1932042991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512EIRVINGPL",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 E IRVING PL",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532021018",
"telephone_number": "608-669-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "325839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.