1. Home
  2. Directory
  3. New York
  4. Ithaca
  5. Specialist Technologist
  6. NPI Profile

MS. KJERSTEN LYDIA MCKINNISS ATC
NPI 1609246123
Specialist/Technologist - Athletic Trainer in Ithaca, NY

Active since September 26, 2015
310 TAUGHANNOCK BLVD, ITHACA, NY 14850(616) 395-7000 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2021, Feb 28, 2020 (2 updates tracked since 2020).

About Ms. Kjersten Lydia Mckinniss Atc NPPES

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

MS. KJERSTEN LYDIA MCKINNISS ATC (NPI 1609246123) is an individual athletic trainer provider in Ithaca, New York, licensed in New York (003601) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1609246123
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. KJERSTEN LYDIA MCKINNISSCredential: ATC
Location Address310 TAUGHANNOCK BLVDIthaca, NY 14850-3251
Mailing Address310 Taughannock BlvdIthaca, NY 14850-3251
Phone(616) 395-7000
Sole ProprietorNo
Enumeration DateSeptember 26, 2015
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1609246123 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 · 003601
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.
310 TAUGHANNOCK BLVD, Ithaca, NY 14850
Open in Google Maps ↗

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.

MRS. CHRISTINE MARIE FEELY MPT
Physical Therapist (Orthopedic)
310 TAUGHANNOCK BLVD
ITHACA, NY 14850
Tompkins County (607) 279-7007
QUTAYBEH S MAGHAYDAH MD
Internal Medicine (Cardiovascular Disease)
310 TAUGHANNOCK BLVD, 4TH FLOOR
ITHACA, NY 14850
Tompkins County (607) 269-0100
MAXWELL CANTOR PT, DPT
Physical Therapist (Orthopedic)
310 TAUGHANNOCK BLVD, PHYSICAL THERAPY
ITHACA, NY 14850
Tompkins County (607) 252-3500
STEPHANIE ALLEN
Physical Therapist
310 TAUGHANNOCK BLVD
ITHACA, NY 14850
Tompkins County (607) 252-3500
LISA PROCTOR NP
Nurse Practitioner (Acute Care)
310 TAUGHANNOCK BLVD
ITHACA, NY 14850
Tompkins County (607) 252-3590
BROOKE FRUECHTL DPT
Physical Therapist
310 TAUGHANNOCK BLVD
ITHACA, NY 14850
Tompkins County (607) 252-3500
MARGARET A VENCE
Physical Therapist
310 TAUGHANNOCK BLVD
ITHACA, NY 14850
Tompkins County (607) 252-3500
NICOLE HUMPF ATC
Specialist/Technologist (Athletic Trainer)
310 TAUGHANNOCK BLVD
ITHACA, NY 14850
Tompkins County (607) 252-3580

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 Kjersten Mckinniss's NPI number?

The NPI number for Kjersten Mckinniss is 1609246123. It was assigned to this individual provider in the NPPES registry on September 26, 2015.

Where is Kjersten Mckinniss located?

Kjersten Mckinniss practices at 310 Taughannock Blvd, Ithaca, NY 14850. The listed phone number is (616) 395-7000.

What is Kjersten Mckinniss'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 Kjersten Mckinniss was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.