ALISIA KAYE MACIOCH M.S., LAT, ATC
NPI 1568998482
Physical Medicine & Rehabilitation - Sports Medicine in Roseville, MN

Active since May 11, 2017
1240 COUNTY ROAD B2 W, ROSEVILLE, MN 55113(651) 301-2279 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Feb 3, 2021, May 11, 2017 (3 updates tracked since 2017).

About Alisia Kaye Macioch M.s., Lat, Atc NPPES

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

ALISIA KAYE MACIOCH M.S., LAT, ATC (NPI 1568998482) is an individual sports medicine provider in Roseville, Minnesota, licensed in Minnesota (3138) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1568998482
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameALISIA KAYE MACIOCHCredential: M.S., LAT, ATC
Location Address1240 COUNTY ROAD B2 WRoseville, MN 55113-4338
Mailing Address320 6th Ave SSouth Saint Paul, MN 55075-2624
Sole ProprietorYes
Enumeration DateMay 11, 2017
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1568998482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License Licensed in MN · 3138
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
1240 COUNTY ROAD B2 W, Roseville, MN 55113

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 Alisia Macioch's NPI number?

The NPI number for Alisia Macioch is 1568998482. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Alisia Macioch located?

Alisia Macioch practices at 1240 County Road B2 W, Roseville, MN 55113. The listed phone number is (651) 301-2279.

What is Alisia Macioch's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Alisia Macioch was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.