MRS. LISA ANN VICENCIO ATC
NPI 1235775768
Specialist/Technologist - Athletic Trainer in Plattsburgh, NY

Q: What is Lisa Vicencio's NPI number?

The NPI number for Lisa Vicencio is 1235775768. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Q: What is Lisa Vicencio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Vicencio was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 19, 2019

101 BROAD ST, PLATTSBURGH, NY 12901(518) 564-4152(518) 564-2558 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Lisa Ann Vicencio Atc NPPES

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

MRS. LISA ANN VICENCIO ATC (NPI 1235775768) is an individual athletic trainer provider in Plattsburgh, New York, licensed in New York (000682-1) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1235775768

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMRS. LISA ANN VICENCIOCredential: ATC

Location Address101 BROAD STPlattsburgh, NY 12901-2637

Mailing Address101 Broad StPlattsburgh, NY 12901-2637 · (518) 564-4152 · Fax (518) 564-2558

Phone(518) 564-4152

Fax(518) 564-2558

Sole ProprietorNo

Enumeration DateNovember 19, 2019

✔ NPI 1235775768 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 NY · 000682-1

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.

101 BROAD ST, Plattsburgh, NY 12901

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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.

DR. JEROME ALFRED DAVIS M.D.

Specialist

101 BROAD ST
PLATTSBURGH, NY 12901

Clinton County (518) 564-2187

DR. LACI CHARETTE PSY.D.

Psychologist (School)

101 BROAD ST
PLATTSBURGH, NY 12901

Clinton County (518) 564-3385

DR. SUZANNE MARY HUNGERFORD PH.D., CCC-SLP

Speech-Language Pathologist