Mary Jane Ann Basilica

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1801 N Broad St
Philadelphia, PA 19122-6117

Phone

(215) 204-7000

NPI assigned

Aug 28, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1063320398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213489",
            "telephone_number": "555-555-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191226117",
            "telephone_number": "215-204-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILICA",
        "first_name": "MARY JANE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biju Basil, MD
• Layla Basil, RN
• Jacqueline Marie Basile, LCSW
• Vincent Louis Basile, DO
• Fady Basili, DDS
• Juanluis Basilio-Espinal
• James Anthony Basilio, MS
• Basin Home Care LLC
• Donna Baskette, CRNA
• Andrew Baskin, LSW

• Athletic Trainer in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.