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 Philadelphia, PA

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

1801 N BROAD ST, PHILADELPHIA, PA 19122(215) 204-7000 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 2, 2026, Aug 28, 2026 (2 updates tracked since 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 Philadelphia, Pennsylvania and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1063320398

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMARY JANE ANN BASILICA

Location Address1801 N BROAD STPhiladelphia, PA 19122-6117

Mailing Address1600 N Broad StPhiladelphia, PA 19121-3489 · (555) 555-5555

Phone(215) 204-7000

Sole ProprietorNo

Enumeration DateAugust 28, 2026

Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 2, 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.

1801 N BROAD ST, Philadelphia, PA 19122

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELADIE MIRANDA

Specialist/Technologist (Athletic Trainer)