Thomas John Barkoski, LAT, ATC
Individual provider Active NPI Athletic Trainer · Highland, IN
NPI 1659765428 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1659765428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 36003012A (IN)
- Practice address
- 8801 Schneider Ave Apt 12
Highland, IN 46322-1898 - Phone
- (815) 216-0608
- NPI assigned
- Mar 19, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096004315 | IL | MD | Athletic Trainer |
| 36003012A | IN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096004315 | IL | |
| Athletic Trainer | 2255A2300X | 36003012A | IN | Yes |
Addresses
Primary practice location
8801 Schneider Ave Apt 12
Highland, IN 46322-1898
Mailing address
306 Lilac Dr
Romeoville, IL 60446-4975
Phone (815) 216-0608
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.