Active NPI
Ty Wheeler
- Athletic Trainer
- Cincinnati, OH
National Provider Identifier
1932971686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT007143
- Practice address
- 1 Paycor Stadium
Cincinnati, OH 45202-3492 - Phone
- (573) 619-2576
- NPI assigned
- Oct 26, 2023
- Last updated
- Dec 11, 2025
- 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 | AT007143 | OH | Primary |
Addresses
Primary practice location
1 Paycor Stadium
Cincinnati, OH 45202-3492
Mailing address
304 E State Route a
Archie, MO 64725-9766
Phone (573) 619-2576
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 |
|---|---|---|---|
| AT007143 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1932971686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E STATE ROUTE A",
"city": "ARCHIE",
"state": "MO",
"postal_code": "647259766",
"telephone_number": "573-619-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PAYCOR STADIUM",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452023492",
"telephone_number": "573-619-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "TY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-26",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT007143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.