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MR. TAD NICKERSON ATC
NPI 1336498369
Specialist/Technologist - Athletic Trainer in Virginia Beach, VA

Active since September 06, 2012
1096 OAKTON MEWS, VIRGINIA BEACH, VA 23464(757) 581-8112 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Tad Nickerson Atc NPPES

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

MR. TAD NICKERSON ATC (NPI 1336498369) is an individual athletic trainer provider in Virginia Beach, Virginia, licensed in Virginia (0126000247) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1336498369
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. TAD NICKERSONCredential: ATC
Location Address1096 OAKTON MEWSVirginia Beach, VA 23464-5355
Mailing Address1096 Oakton MewsVirginia Beach, VA 23464-5355 · (757) 581-8112
Phone(757) 581-8112
Sole ProprietorYes
Enumeration DateSeptember 6, 2012
✔ NPI 1336498369 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 VA · 0126000247
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.
1096 OAKTON MEWS, Virginia Beach, VA 23464
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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 Tad Nickerson's NPI number?

The NPI number for Tad Nickerson is 1336498369. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Tad Nickerson located?

Tad Nickerson practices at 1096 Oakton Mews, Virginia Beach, VA 23464. The listed phone number is (757) 581-8112.

What is Tad Nickerson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Tad Nickerson was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.