TREVOR MATTHEW LIECHTY (NPI# 1376186841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376186841 |
| Entity Type | Individual |
| Full Name | TREVOR MATTHEW LIECHTY |
| Practice Address |
8966 Spring Violet Pl Zionsville IN 46077-7506 |
| Practice Telephone | 3177971825 |
| Mailing Telephone | 3177971825 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8966 SPRING VIOLET PL |
| City | ZIONSVILLE |
| State | IN |
| Zip Code | 46077-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174029789 | Amelia S Bruner | Family Medicine | 1325 Wood Valley Ct, Zionsville, IN 46077 | 2018-04-03 |
| 1982073078 | Visionelle Eyecare Inc | Clinic/Center | 6618 Whitestown Parkway, Zionsville, IN 46077 | 2015-09-18 |
| 1487065272 | Michael J Gallagher | Family Medicine | 51 N Ford Rd, Zionsville, IN 46077 | 2014-05-14 |
| 1518377381 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6650 Whitestown Parkway, Whitestown, IN 46077 | 2014-05-02 |
| 1962828418 | Gordon Charles Colson | Family Medicine | 6733 Jons Station, Zionsville, IN 46077 | 2014-03-07 |
| 1285977033 | Vivian Cruz Nanagas | Allergy & Immunology | 4400 Weston Pointe Dr Ste 150, Zionsville, IN 46077 | 2013-03-30 |
| 1861643926 | Mark Chandrahant Lakshmanan | Internal Medicine | 1955 Mulsanne Drive, Zionsville, IN 46077 | 2008-10-08 |
| 1275780363 | Sarah S Alexander | Occupational Therapist | 825 West Pine St, Zionsville, IN 46077 | 2008-08-20 |
| 1346405909 | Harold Hibbs | Internal Medicine | 1475 West Oak Street #138, Zionsville, IN 46077 | 2008-07-23 |
| 1548444771 | Christopher C Romas, D.d.s., P.C. | Clinic/Center | 1155 Parkway Dr., Suite 100, Zionsville, IN 46077 | 2007-12-24 |
| Find all providers in zip 46077 | ||||
| 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 |
|---|---|---|---|---|
| 1366815094 | Nicole Moss | Specialist/Technologist | 8855 Sugar Cay Ct, Zionsville, IN 46077-2911 | 2015-11-03 |
| 1679651095 | Melissa A Campbell | Specialist/Technologist | 6543 Yorkshire Cir, Zionsville, IN 46077-9199 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342988 | Sarah Elizabeth Schiller | Specialist/Technologist | 3499 W 800 S, Fort Branch, IN 47648-8174 | 2020-09-26 |
| 1093321374 | Claire Elizabeth Sayre | Specialist/Technologist | 7764 W County Road 625 N, Middletown, IN 47356-9725 | 2020-09-22 |
| 1386256071 | Dylan A Wirick | Specialist/Technologist | 3547 Mechanicsburg Dr, Indianapolis, IN 46227-9626 | 2020-08-23 |
| 1750993267 | Kathryn Ruark | Specialist/Technologist | 625 Canal View Dr Apt G, Indianapolis, IN 46202-6121 | 2020-08-18 |
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1538778139 | Tyralee Frye | Specialist/Technologist | 731 Lincoln Dr, Bloomfield, IN 47424-1023 | 2020-07-29 |
| 1902415508 | Kaitlyn Kendrick | Specialist/Technologist | 2909 Tindall St, Indianapolis, IN 46203-5449 | 2020-07-29 |
| 1063037166 | Ronald Lee Ennis Jr. | Specialist/Technologist | 307 Henley Rd, Richmond, IN 47374-5946 | 2020-06-15 |
| 1235753278 | Lauren Schnell | Specialist/Technologist | 3196 Lakeside Dr, Jasper, IN 47546-9517 | 2020-06-05 |
| 1942824552 | Deni Nicole Roller | Specialist/Technologist | 544 Royalton Dr, New Haven, IN 46774-2658 | 2020-05-31 |
| Find all providers with the same taxonomy | ||||
| City | ZIONSVILLE |
| Zip Code | 46077 |
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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.