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Anissa Carrillo , ATC

Specialist/Technologist - Athletic Trainer β€’ Aurora, IL

Active NPI 1568959963 Individual Practitioner Female Practitioner
Practice location in NPPES

347 S Gladstone Ave
Aurora, IL 605064877

Call 6197017035 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

347 S Gladstone Ave

Aurora, IL 605064877

Telephone 6197017035

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Aurora and Illinois

72 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Aurora, IL (1,930 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Aurora

0% of these 72 clinicians have the CMS telehealth indicator.

0% of these 72 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 10, 2019

Recorded as ANISSA CARRILLO, ATC

βœ…
NPI Profile Active April 20, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 20, 2018

Registered at 347 S GLADSTONE AVE, AURORA, IL 605064877 (Tel: 6197017035)

πŸ“
Business Mailing Address (Initial Record) April 20, 2018

Registered at 1025 PETERLYNN DR, SAN DIEGO, CA 921542558 (Tel: 6197017035)

πŸ‘€
Provider Name / Credentials (Initial Record) April 20, 2018

Recorded as ANISSA CARRILLO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2018

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration April 20, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568959963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2018
Last Update: June 10, 2019
Sole Proprietor: No

Mailing Address

1025 Peterlynn Dr

San Diego, CA 921542558

Phone: 6197017035

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.