Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY JANE ANN BASILICA
NPI 1063320398
Specialist/Technologist - Athletic Trainer in Fredericksburg, VA

Q: What is Mary Jane Basilica's NPI number?

The NPI number for Mary Jane Basilica is 1063320398. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Q: What is Mary Jane Basilica's specialty?

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

Active since August 28, 2026

11400 CHINQUAPIN WAY, FREDERICKSBURG, VA 22407(540) 395-1996 Get Directions Write a Review

NPPES record added: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mary Jane Ann Basilica NPPES

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

MARY JANE ANN BASILICA (NPI 1063320398) is an individual athletic trainer provider in Fredericksburg, Virginia and active in the NPI registry since August 2026. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1063320398

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMARY JANE ANN BASILICA

Location Address11400 CHINQUAPIN WAYFredericksburg, VA 22407-8421

Mailing Address11400 Chinquapin WayFredericksburg, VA 22407-8421 · (540) 395-1996

Phone(540) 395-1996

Sole ProprietorNo

Enumeration DateAugust 28, 2026

NPPES CertifiedAugust 28, 2026

✔ NPI 1063320398 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

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.

11400 CHINQUAPIN WAY, Fredericksburg, VA 22407

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Secondary Practice Location 1

Location 11801 N Broad StPhiladelphia, PA 19122-6117 · Phone (215) 204-7000

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 Jane Basilica's NPI number?

The NPI number for Mary Jane Basilica is 1063320398. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Where is Mary Jane Basilica located?

Mary Jane Basilica practices at 11400 Chinquapin Way, Fredericksburg, VA 22407. The listed phone number is (540) 395-1996.

What is Mary Jane Basilica'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 Jane Basilica was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.