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TANNER MAKSYMICZ
NPI 1457807414
Specialist/Technologist - Athletic Trainer in Macomb, IL

Active since August 30, 2016
1 UNIVERSITY CIR, MACOMB, IL 61455(765) 891-0503 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanner Maksymicz NPPES

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

TANNER MAKSYMICZ (NPI 1457807414) is an individual athletic trainer provider in Macomb, Illinois, licensed in Illinois (096004259) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1457807414
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTANNER MAKSYMICZ
Location Address1 UNIVERSITY CIRMacomb, IL 61455-1367
Mailing Address700 Linden LnMacomb, IL 61455-1076 · (765) 891-0503
Phone(765) 891-0503
Sole ProprietorNo
Enumeration DateAugust 30, 2016
✔ NPI 1457807414 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 · 096004259
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.
1 UNIVERSITY CIR, Macomb, IL 61455
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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.

MS. LEAH ANN SHAPIRO
Developmental Therapist
1 UNIVERSITY CIR, CENTER FOR BEST PRACTICES, WESTERN ILLINOIS UNIVERSITY
MACOMB, IL 61455
McDonough County (800) 701-0095
BONNIE JEAN BARTLETT APN
Nurse Practitioner (Pediatrics)
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-1888
SABREEN DASSA
Developmental Therapist
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-3066
SARA HARRISON RYAN
Developmental Therapist
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (800) 701-0995
RENEE L POLUBINSKY ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-2050
KATHLEEN KENNEY LCSW, CADC
Social Worker (Clinical)
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (630) 483-7071
SABRINA KLEPARSKI
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-1414
ROSALYN BORDEN KALANTARI APN
Nurse Practitioner (Women's Health)
1 UNIVERSITY CIR
MACOMB, IL 61455
McDonough County (309) 298-1888

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 Tanner Maksymicz's NPI number?

The NPI number for Tanner Maksymicz is 1457807414. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Tanner Maksymicz located?

Tanner Maksymicz practices at 1 University Cir, Macomb, IL 61455. The listed phone number is (765) 891-0503.

What is Tanner Maksymicz'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 Tanner Maksymicz was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.