ALICIA LYSIUK (NPI# 1285952382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285952382 |
| Entity Type | Individual |
| Full Name | ALICIA LYSIUK |
| Credential | LAT, ATC, MS |
| Practice Address |
3125 S Scatterfield Rd Ste 210 Anderson IN 46013-1804 |
| Mailing Address |
10752 Chestnut Heath Ct Noblesville IN 46060-6117 |
| Practice Telephone | 7652984311 |
| Practice Fax Number | 7652984312 |
| Mailing Telephone | 3174176217 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001004A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3125 S SCATTERFIELD RD STE 210 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46013-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405371 | Brett Thomas Krepps | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1802 | 2005-08-23 |
| 1588149538 | Amanda Pearl Andrews | Specialist/Technologist | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013-1804 | 2018-09-26 |
| 1750647608 | Kyle Stephenson | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013 | 2012-04-04 |
| 1922158997 | Michael Shannon Todd | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
| 1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
| 1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
| 1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
| 1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
| 1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
| 1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
| 1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
| 1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
| 1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
| Find all providers in zip 46013 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319143 | Janki Patel | Specialist/Technologist | 223 Bronson Rdg, Anderson, SC 29621-3796 | 2020-02-25 |
| 1023649431 | Carla Deyanira Vazquez Serra | Specialist/Technologist | 9385 Fm 244 Rd, Anderson, TX 77830-5620 | 2020-02-04 |
| 1538706452 | Irina Raybeck | Specialist/Technologist | 6384 Double K Dr, Anderson, CA 96007-9277 | 2019-12-10 |
| 1962976050 | Emily M Stout | Specialist/Technologist | 628 Nursery Rd, Anderson, IN 46012-3511 | 2019-01-11 |
| 1336697119 | Patricia Jones | Specialist/Technologist | 1100 East 5th Street, Anderson, IN 46012 | 2016-09-21 |
| 1730635194 | Nancy Caroline Edwards | Specialist/Technologist | 212 Regency Cir, Anderson, SC 29625-2575 | 2016-08-26 |
| 1740631035 | Jason Avery Powell | Specialist/Technologist | 211 Lancaster Dr, Anderson, SC 29621-1969 | 2016-06-28 |
| 1376901934 | Alyssa Sotomayor | Specialist/Technologist | 806 Old Pearman Dairy Rd, Anderson, SC 29625-9998 | 2016-02-10 |
| 1821472754 | Sarah Elaine Carroll | Specialist/Technologist | 1708 University Blvd, Apt 4, Anderson, IN 46012-3100 | 2015-07-09 |
| 1144618844 | Brooke Elise Hopkins | Specialist/Technologist | 2005 Edgewood Ave, Anderson, SC 29625-2844 | 2015-01-03 |
| Find all providers in ANDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.