Olivia N Tisckos

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096005607 Issued in IL

Practice address

1122 West Ave Apt 1
Normal, IL 61761-3472

Phone

(217) 971-0937

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1154065670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 YEOMAN DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045246",
            "telephone_number": "217-971-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 WEST AVE APT 1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613472",
            "telephone_number": "217-971-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCKOS",
        "first_name": "OLIVIA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096005607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn L Tornquist, M.S., A.P.N.
• Town of Normal
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• Athletic Trainer in Normal, IL
• Providers in Normal, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.