MR. JASON PHILLIP NUSSBAUM MS, ATC
NPI 1013157452
Specialist/Technologist - Athletic Trainer in Blythewood, SC

Active since February 25, 2009
180 TURKEY FARM RD, BLYTHEWOOD, SC 29016(803) 381-0168 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jason Phillip Nussbaum Ms, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JASON PHILLIP NUSSBAUM MS, ATC (NPI 1013157452) is an individual athletic trainer provider in Blythewood, South Carolina, licensed in South Carolina (858) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1013157452
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. JASON PHILLIP NUSSBAUMCredential: MS, ATC
Location Address180 TURKEY FARM RDBlythewood, SC 29016-9699
Mailing Address180 Turkey Farm RdBlythewood, SC 29016-9699 · (803) 381-0168
Sole ProprietorNo
Enumeration DateFebruary 25, 2009
Last NPPES UpdateDecember 23, 2014
NPI 1013157452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in SC · 858
Definition

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.

180 TURKEY FARM RD, Blythewood, SC 29016

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (School)
180 TURKEY FARM RD
BLYTHEWOOD, SC 29016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013157452, enumerated as an "individual" on February 25, 2009.

The provider is located at 180 TURKEY FARM RD BLYTHEWOOD, SC 29016 and the phone number is (803) 381-0168.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.