Kyle McCuskey, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003148 Issued in VA

Practice address

1200 N Quaker LN
Alexandria, VA 22302-3004

Phone

(703) 933-4089

NPI assigned

Aug 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1982159216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N QUAKER LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223023004",
            "telephone_number": "703-933-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N QUAKER LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223023004",
            "telephone_number": "703-933-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUSKEY",
        "first_name": "KYLE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1796",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2849",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John McCoy, PH.D.
• Melina Suzanne McCrary, M.S., CCC-SLP
• Gardner McCullough, LCSW
• Michael McCully, MA, LMFT
• Gail F McCurry, MSW, LCSW
• Ashley Dawn McCutcheon
• Lauren McDermott, PA-C
• Anne Stewart McDonald, DMD
• Brian R McDonald, PHD, LPC
• Erin Irene McDonnell, RN

• Athletic Trainer in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.