Casey Lewandoski, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

3137 Issued in MN

Practice address

14050 Fairview Dr FL 1
Burnsville, MN 55337-5713

Phone

(952) 831-9742

NPI assigned

Feb 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1285135764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 DAHLIA CIR APT 218",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 FAIRVIEW DR FL 1",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375713",
            "telephone_number": "952-831-9742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560821485",
            "country_code": "US",
            "telephone_number": "907-378-0699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Olivia",
            "state": "MN",
            "postal_code": "562771117",
            "country_code": "US",
            "telephone_number": "320-523-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWANDOSKI",
        "first_name": "CASEY",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-21",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Leon, MA, LMFT
• Justin David Less, LICSW
• Ryane Leigh Lester, PA-C
• Shonalie Leville, MD
• Levine-Adler P.a.
• Leah Lewis
• Moria Lewis
• Randall Alfred Lewis, M.D.
• Sara Lynn Lewis, PA-C
• Lexi Miller

• Athletic Trainer in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.