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Lukas Dominic Manieri , ATC, OTC

Specialist/Technologist - Athletic Trainer • Bloomington, IL

Active NPI 1164939179 Individual Practitioner Male Practitioner
Practice location in NPPES

1111 Trinity Ln Ste 111
Bloomington, IL 617048112

Call 3096636461 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

1111 Trinity Ln Ste 111

Bloomington, IL 617048112

Telephone 3096636461
Fax 3096635711
Organization at the Same NPPES Address or Phone
Carle West Physician Group Inc Facility NPI 1033866801

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

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, “Does 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 Bloomington and Illinois

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 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 · Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES IL 096004560

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.

Specialist/Technologist, Other - Orthopedic Assistant

NUCC Taxonomy Code: 246ZX2200X

License # reported to NPPES IL 16-06-30

An Orthopaedic Assistant is a person who has been trained to work as a physician extender in both clinical and surgical environments. An Orthopaedic Assistant assists with aspects of patient care as determined by the supervising surgeon including, but not limited to, obtaining patient history, assisting with examinations, injections, recording of office notes, and application/adjustment/removal of splints, casts, and other immobilization devices. Acting as a surgical first assistant for orthopaedic surgery cases includes providing aid in exposure, hemostasis, positioning of the patient, suturing and closure of body planes and skin, application of wound dressings or immobilization devices, and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. An Orthopaedic Assistant may be licensed, registered, or certified depending on the state in which the individual practices.

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Lucas Armstrong , MD

Orthopaedic Surgery

NPI 1174783880

Doctor of Medicine (M.D.)

Richard Bauersfeld , PT

Physical Therapist

NPI 1912915208

Physical Therapist

Dr. Wendell Becton , MD

Family Medicine - Sports Medicine

NPI 1649237504

Doctor of Medicine (M.D.)

Nicholas Burke , PT

Physical Therapist

NPI 1508367590

Physical Therapist

NPI 1578162210

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. John Dustman , MD

Orthopaedic Surgery

NPI 1760498497

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated December 29, 2017.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2018 to August 2026.

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NPI Administrative Meta

NPI Number: 1164939179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2017
Last Update: December 29, 2017
Sole Proprietor: No

Mailing Address

1226 Airport Rd

Bloomington, IL 617042522

Phone: 8478756849

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.