DAVID IANNICCA ATC
NPI 1245455666
Physical Medicine & Rehabilitation - Sports Medicine in Surprise, AZ
- Individual
- Male
- Physical Medicine & Rehabilitation
- Sports Medicine
About DAVID IANNICCA
This page provides the complete NPI Profile along with additional information for David Iannicca, a provider established in Surprise, Arizona with a medical specialization in Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1245455666 assigned on April 2007. The practitioner's primary taxonomy code is 2081S0010X with license number 0126000756 (VA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1245455666 Verify this NPI
- Provider Name
- DAVID IANNICCA ATC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15946 N BULLARD AVE SURPRISE, AZ 85374
- Location Phone
- (816) 277-2954
- Mailing Address
- 920 CENTER RD EASTLAKE, OH 44095
- Mailing Phone
- (440) 223-0569
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-13-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Sports Medicine
- Taxonomy Code
- 2081S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0126000756
- License State
- VA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SURPRISE, AZ 85374
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245455666, enumerated as an "individual" on April 13, 2007.
The provider is located at 15946 N BULLARD AVE SURPRISE, AZ 85374 and the phone number is (816) 277-2954.
Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.