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MARY PESICKA ATC
NPI 1043791072
Specialist/Technologist - Athletic Trainer in Nevada, MO

Active since August 28, 2018
1000 W AUSTIN BLVD, NEVADA, MO 64772(417) 667-8181 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 1, 2021, Aug 28, 2018 (2 updates tracked since 2018).

About Mary Pesicka Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PESICKA ATC (NPI 1043791072) is an individual athletic trainer provider in Nevada, Missouri, licensed in Missouri (2018026629) and active in the NPI registry since August 2018. She maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1043791072
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMARY PESICKACredential: ATC
Location Address1000 W AUSTIN BLVDNevada, MO 64772-2763
Mailing Address1000 W Austin BlvdNevada, MO 64772-2763 · (216) 509-6218
Phone(417) 667-8181
Sole ProprietorNo
Enumeration DateAugust 28, 2018
Last NPPES UpdateMarch 1, 20212 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
✔ NPI 1043791072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MO · 2018026629
Definition
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.
1000 W AUSTIN BLVD, Nevada, MO 64772
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Secondary Practice Location 1

Location 1900 N Benton AveSpringfield, MO 65802-3712 · Phone (216) 509-6218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pesicka's NPI number?

The NPI number for Mary Pesicka is 1043791072. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Mary Pesicka located?

Mary Pesicka practices at 1000 W Austin Blvd, Nevada, MO 64772. The listed phone number is (417) 667-8181.

What is Mary Pesicka's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Mary Pesicka was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.