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OLIVIA N TISCKOS
NPI 1154065670
Specialist/Technologist - Athletic Trainer in Normal, IL

Active since April 21, 2022
1122 WEST AVE APT 1, NORMAL, IL 61761(217) 971-0937 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Apr 21, 2022 (2 updates tracked since 2022).

About Olivia N Tisckos NPPES

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

OLIVIA N TISCKOS (NPI 1154065670) is an individual athletic trainer provider in Normal, Illinois, licensed in Illinois (096005607) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1154065670
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameOLIVIA N TISCKOS
Location Address1122 WEST AVE APT 1Normal, IL 61761-3472
Mailing Address239 Yeoman DrSpringfield, IL 62704-5246 · (217) 971-0937
Phone(217) 971-0937
Sole ProprietorYes
Enumeration DateApril 21, 2022
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1154065670 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 IL · 096005607
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.
1122 WEST AVE APT 1, Normal, IL 61761
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Olivia Tisckos's NPI number?

The NPI number for Olivia Tisckos is 1154065670. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Olivia Tisckos located?

Olivia Tisckos practices at 1122 West Ave Apt 1, Normal, IL 61761. The listed phone number is (217) 971-0937.

What is Olivia Tisckos'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 Olivia Tisckos was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.