Caleb Andrew Unzicker, MS, ATC/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1804 N Lincoln Ave
Urbana, IL 61801-1023

Phone

(217) 337-4313

Fax

(217) 337-1914

NPI assigned

Jan 19, 2008

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Personal Performance Training & Rehabiliation, Inc.

  • Physical Therapy Clinic/Center
  • Urbana, IL
  • NPI 1720103872

  Athletic Trainer

  NPD (past)
• Pride in Your Health PC

  • Chiropractor
  • Urbana, IL
  • NPI 1720571532
  NPD (past)

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200700800000",
    "number": "1265618201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011023",
            "telephone_number": "217-337-4313",
            "fax_number": "217-337-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N LINCOLN AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618011023",
            "telephone_number": "217-337-4313",
            "fax_number": "217-337-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNZICKER",
        "first_name": "CALEB",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MS, ATC/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-19",
        "last_updated": "2008-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Illinois
• University of Illinois at Urbana-Champaign
• University of Illinois College of Medicine
• University of Illinois Urbana-Champaign
• University Rehabilitation Center of C-U LLC
• Mark E Unzicker, CRNA
• Urbana School District No 116
• Ikechukwu L Uzoaru, MD
• Srijan Valasapalli, MD
• Rajajitendra Varma Vanapala, PT

• Athletic Trainer in Urbana, IL
• Providers in Urbana, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2008; 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.