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MELISSA ERICSON DAT, LAT
NPI 1811421837
Specialist/Technologist - Athletic Trainer in Milwaukee, WI

Active since April 17, 2017
3365 S 103RD ST, MILWAUKEE, WI 53227(262) 604-7515 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 22, 2025, Apr 17, 2017 (2 updates tracked since 2017).

About Melissa Ericson Dat, Lat NPPES

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

MELISSA ERICSON DAT, LAT (NPI 1811421837) is an individual athletic trainer provider in Milwaukee, Wisconsin, licensed in Indiana (36002463A) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1811421837
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMELISSA ERICSONCredential: DAT, LAT
Location Address3365 S 103RD STMilwaukee, WI 53227-4161
Mailing Address1711 S East LnNew Berlin, WI 53146-1502
Phone(262) 604-7515
Sole ProprietorNo
Enumeration DateApril 17, 2017
Last NPPES UpdateMay 22, 20252 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1811421837 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 IN · 36002463A
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.
3365 S 103RD ST, Milwaukee, WI 53227
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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. CHARLOTTE MARIA SHANAVER PHD; LP; HSP
Psychologist
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7500
KYLE SCHARER
Specialist/Technologist (Athletic Trainer)
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7260
CHERIE SGAMBATI D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 228-4800
CHILDREN'S MEDICAL GROUP
Clinic/Center (Mental Health (Including Community Mental Health Center))
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 228-4800
KENYITA TAMARA BERRYHILL M.D.
Pediatrics
3365 S 103RD ST, SUITE 100
MILWAUKEE, WI 53227
Milwaukee County (414) 321-3951
DR. KEVIN D WALTER MD
Pediatrics (Sports Medicine)
3365 S 103RD ST, GREENWAY MEDICAL CENTER
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7501
DAVID MEULER MD
Pediatrics
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 321-3951
DR. BRIAN R BUTLER DPT, ATC
Physical Therapist
3365 S 103RD ST
MILWAUKEE, WI 53227
Milwaukee County (414) 604-7530

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 Melissa Ericson's NPI number?

The NPI number for Melissa Ericson is 1811421837. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Melissa Ericson located?

Melissa Ericson practices at 3365 S 103rd St, Milwaukee, WI 53227. The listed phone number is (262) 604-7515.

What is Melissa Ericson'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 Melissa Ericson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.