Alexander Vick, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001804 Issued in MI

Practice address

100 Rose Center
Mount Pleasant, MI 48859-1140

Phone

(989) 774-3879

NPI assigned

Mar 31, 2015

Sex

Male

Sole proprietor

Yes

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1962897694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROSE CENTER",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488590001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROSE CENTER",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488591140",
            "telephone_number": "989-774-3879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500111140",
            "country_code": "US",
            "telephone_number": "907-209-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICK",
        "first_name": "ALEXANDER",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "074316",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidyasagar Reddy Vatte, RPT
• Jayla M Vautrin
• Vandana Vedula, MD
• Mary Edith Vens Anderson
• Hunter Verdon
• Rachel Lynn Vick, PTA
• Vie Therapy LLC
• Autumn View
• Jennifer Junne Vincent, RN
• Diane M Visich, PA

• Athletic Trainer in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Athletic Trainer in Michigan

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