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Olivia N. Tisckos

NPI 1154065670ActiveIndividual· Specialist/Technologist, Athletic Trainer· Normal, IL

Specialist/Technologist, Athletic Trainer in Normal, Illinois, licensed in IL, with an NPI issued in April 2022.

Overview

NPI1154065670
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedApr 21, 2022
Last updated in NPPESJun 18, 2025
Certified by providerJun 18, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Specialist/Technologist, Athletic Trainer Primary2255A2300X096005607IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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