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Deactivated NPI 1093753659 Deactivated / Inactive NPI Male Practitioner

John Paul Lichosik , ATC

Specialist/Technologist - Athletic Trainer • Milwaukee, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Lichosik has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2006
NPI Deactivation Date January 04, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

John Lichosik, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Milwaukee, WI. Throughout an active medical career spanning 17 years, John Lichosik provided care at the practice location at 2025 E NEWPORT AVE until profile deactivation on 2023-01-04.

Practice Location & Contact Primary Location

Practice Address

2025 E Newport Ave
Sports Medicine Rm 319

Milwaukee, WI 532112906

Telephone 4149614666
Associated Practice Facility / Clinic
🏢 J. Michael Wilson, M.d., S.c. Facility NPI 1235185596

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
102 Specialists

Practicing in Milwaukee, WI (1241 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License WI 289-039

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Bethany Shaw , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1225003684

Certified Athletic Trainer, Licensed Athletic Trainer

Elliott Meyer , ATC

Specialist/Technologist - Athletic Trainer

NPI 1962535179

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 04, 2023

Record deactivated on January 04, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2025 E NEWPORT AVE, SPORTS MEDICINE RM 319, MILWAUKEE, WI 532112906 (Tel: 4149614666)

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Updated Business Mailing Address July 08, 2007

Registered at 4786 N WOODRUFF AVE, WHITEFISH BAY, WI 532111005 (Tel: 4149670155)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN LICHOSIK, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist (License #289-039 in WI)

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Initial NPI Registration & Enumeration June 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093753659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2006
Last Update: July 08, 2007
Deactivation Date: January 04, 2023

Mailing Address

4786 N Woodruff Ave

Whitefish Bay, WI 532111005

Phone: 4149670155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.