Individual provider

Michelle Fasano, AT, ATC

Athletic Trainer

Michelle Fasano, AT, ATC is a provider specialising in Athletic Trainer in Fort Campbell, KY, registered under NPI 1063757219. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 650 JOEL DR, Fort Campbell, KY 42223. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

650 JOEL DR, Fort Campbell, KY 42223 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2601001564 MI Athletic Trainer primary
2402 NC Athletic Trainer
096004795 IL Athletic Trainer
068 WY Athletic Trainer

Licences are recorded in 4 states: MI, NC, IL, WY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 4 states

This provider holds licences in 4 states: Illinois, Michigan, North Carolina and Wyoming. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
096004795
Specialty
Athletic Trainer
Verify with the IL board →
MI Michigan
Licence
2601001564
Specialty
Athletic Trainer
Verify with the MI board →
NC North Carolina
Licence
2402
Specialty
Athletic Trainer
Verify with the NC board →
WY Wyoming
Licence
068
Specialty
Athletic Trainer
Verify with the WY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Athletic Trainer covers

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. NUCC Health Care Provider Taxonomy, code 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2255A2300X Athletic Trainer Athletic Trainer 2601001564 MI primary
2255A2300X Athletic Trainer Athletic Trainer FL
2255A2300X Athletic Trainer Athletic Trainer 2402 NC
2255A2300X Athletic Trainer Athletic Trainer 096004795 IL
2255A2300X Athletic Trainer Athletic Trainer 068 WY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063757219 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 29, 2012
Last updatedOct 16, 2023
StatusActive
Sole proprietorYes
CredentialAT, ATC
Practice address 650 JOEL DR
Fort Campbell, KY 42223
(847) 778-7280
This record was updated on Oct 16, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1063757219 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 7 5 7 2 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 5 5 5 2 2

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063757219?
NPI 1063757219 is the National Provider Identifier assigned to Michelle Fasano, AT, ATC in Fort Campbell, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Athletic Trainer cover?
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…
How do I contact Michelle Fasano, AT, ATC?
The phone number on file with NPPES is (847) 778-7280, last updated Oct 16, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1063757219 a valid number?
Yes. 1063757219 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.