University of Michigan- Medsport

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

UNIVERSITY OF MICHIGAN- MEDSPORT

Practice address

20321 Farmington Rd
Livonia, MI 48152-1411

Phone

(248) 888-9000

Fax

(248) 888-9115

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Melina Lynn Holyszko, ATC

Title

Clinical Athletic Trainer

Phone

(734) 930-7421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083762686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 KINLOCH",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391884",
            "telephone_number": "313-937-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20321 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-888-9000",
            "fax_number": "248-888-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MICHIGAN- MEDSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLYSZKO",
        "authorized_official_first_name": "MELINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL ATHLETIC TRAINER",
        "authorized_official_telephone_number": "734-930-7421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Livonia, MI
• Providers in Livonia, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.