1. Home
  2. Directory
  3. Arizona
  4. Surprise
  5. Physical Medicine Rehabilitation
  6. NPI Profile

DAVID IANNICCA ATC
NPI 1245455666
Physical Medicine & Rehabilitation - Sports Medicine in Surprise, AZ

Active since April 13, 2007
15946 N BULLARD AVE, SURPRISE, AZ 85374(816) 277-2954 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Iannicca Atc NPPES

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

DAVID IANNICCA ATC (NPI 1245455666) is an individual sports medicine provider in Surprise, Arizona, licensed in Virginia (0126000756) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1245455666
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDAVID IANNICCACredential: ATC
Location Address15946 N BULLARD AVESurprise, AZ 85374-8844
Mailing Address920 Center RdEastlake, OH 44095-2332 · (440) 223-0569
Phone(816) 277-2954
Sole ProprietorYes
Enumeration DateApril 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245455666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in VA · 0126000756
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
15946 N BULLARD AVE, Surprise, AZ 85374
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

GAVIN GROSH
Physical Medicine & Rehabilitation (Sports Medicine)
15946 N BULLARD AVE
SURPRISE, AZ 85374
Maricopa County (816) 382-5753
JUSTIN J HAHN PT
Physical Therapist
15946 N BULLARD AVE
SURPRISE, AZ 85374
Maricopa County (623) 266-8035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Iannicca's NPI number?

The NPI number for David Iannicca is 1245455666. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is David Iannicca located?

David Iannicca practices at 15946 N Bullard Ave, Surprise, AZ 85374. The listed phone number is (816) 277-2954.

What is David Iannicca's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for David Iannicca was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.