NPPES file of Aug 9, 2026

Tanner Maksymicz

Athletic Trainer · Macomb, IL

Tanner Maksymicz is an athletic trainer with a practice address in Macomb, Illinois, and NPI 1457807414, issued on Aug 30, 2016. Check the license (Illinois 096004259, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1457807414
Name
Tanner Maksymicz
Primary taxonomy
Athletic Trainer 2255A2300X
License number
096004259 IL
Self-reported in NPPES; status is on the state search
Practice location
1 University Cir, Macomb, IL 61455
Phone
(765) 891-0503
Enumerated
Aug 30, 2016
Record last updated
Aug 30, 2016 (not updated in 10 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1 University Cir

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Molly AndersonAthletic Trainer1407079429
  2. Bonnie Bartlett, APNPediatric Nurse Practitioner1043367295
  3. Charnelle BrinkerSpeech-Language Pathologist1497212864
  4. Chad Cerullo, MS, LAT, ATCAthletic Trainer1932252319
  5. Deborah Conner, APNWomen's Health Nurse Practitioner1811054299
  6. Sabreen DassaDevelopmental Therapist1073964086

Verify Tanner Maksymicz in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 096004259
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

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Tanner Maksymicz among 1,930 athletic trainer records in Illinois

Tanner Maksymicz is one of 1,930 athletic trainer records with a practice address in Illinois. under 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2016, is newer than 54% of them.

  • NPI issued2016 · 54% of these records are older, 40% newer
  • In a Medicare fileNo · under 1% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2016 · 68% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2255A2300X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

16 athletic trainer records list a practice address in Macomb

They are 16 of the 296 NPPES records with a practice address in Macomb, and 1,930 athletic trainer records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 athletic trainer records with the nearest ZIP codes

  1. Molly AndersonMacomb, IL 614551407079429
  2. Skylar Beard, ATCMacomb, IL 614551891263653
  3. Amy Beckman, MS, ATC, CSCSMacomb, IL 614551730116591
  4. Chad Cerullo, MS, LAT, ATCMacomb, IL 614551932252319
  5. Rowan Haverkamp, ATCMacomb, IL 614551679091631
  6. Reagan HorschMacomb, IL 614551336769785
  7. Marc Kessler, ATCMacomb, IL 614551831541499
  8. Steven Koch, ATCMacomb, IL 614551225287618

Common questions

What is Tanner Maksymicz's NPI number?

Tanner Maksymicz's National Provider Identifier (NPI) is 1457807414, issued on Aug 30, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Tanner Maksymicz located?

The NPPES record lists a practice address at 1 University Cir, Macomb, IL, 61455. Phone: (765) 891-0503. Providers update this record themselves, so call before visiting.

How can I verify Tanner Maksymicz's license?

NPPES lists Illinois license number 096004259, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.