Active NPI
Tyler James Skoniecki, MA, LAT, ATC, NREMT
- Athletic Trainer
- Baltimore, MD
National Provider Identifier
1659151413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT5788
- Practice address
- 1000 Hilltop Cir
Umbc Sports Medicine
Baltimore, MD 21250-0002 - Phone
- (410) 455-5876
- NPI assigned
- Sep 29, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT5788 | NC | Primary |
| Basic Emergency Medical Technician | 146N00000X | 1059757 | PA | |
| Basic Emergency Medical Technician | 146N00000X | P561644 | NC | |
| Athletic Trainer | 2255A2300X | A0001871 | MD |
Addresses
Primary practice location
1000 Hilltop Cir
Umbc Sports Medicine
Baltimore, MD 21250-0002
Mailing address
57 Deer Path Dr
Berwick, PA 18603-5107
Phone (570) 855-4297
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P561644 | NC | MD | Basic Emergency Medical Technician |
| 1059757 | PA | MD | Basic Emergency Medical Technician |
| LAT5788 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1659151413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 DEER PATH DR",
"city": "BERWICK",
"state": "PA",
"postal_code": "186035107",
"telephone_number": "570-855-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HILLTOP CIR",
"address_2": "UMBC SPORTS MEDICINE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212500002",
"telephone_number": "410-455-5876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKONIECKI",
"first_name": "TYLER",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MA, LAT, ATC, NREMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-29",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT5788",
"primary": true
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "PA",
"license": "1059757",
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NC",
"license": "P561644",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A0001871",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.