Active NPI
Michael Michalski Jr., MHSA, LAT, ATC
- Athletic Trainer
- Reno, NV
National Provider Identifier
1255872131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1664 N. Virginia St.
Mail Stop 265
Reno, NV 89557-9401 - Phone
- (775) 784-4070
- Fax
- (775) 784-8077
- NPI assigned
- Mar 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1664 N. Virginia St.
Mail Stop 265
Reno, NV 89557-9401
Mailing address
1776 Manchester Way
Sparks, NV 89431-1919
Phone (586) 747-6637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Valley State University | Student in an Organized Health Care Education/Training Program | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Allendale, MI
- NPI 1689064610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1255872131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 MANCHESTER WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894311919",
"telephone_number": "586-747-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 N. VIRGINIA ST.",
"address_2": "MAIL STOP 265",
"city": "RENO",
"state": "NV",
"postal_code": "895579401",
"telephone_number": "775-784-4070",
"fax_number": "775-784-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALSKI",
"first_name": "MICHAEL",
"name_suffix": "Jr.",
"credential": "MHSA, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-13",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.